Chronic rhinitis: symptoms and treatment of the common cold in adults and children. Chronic rhinitis Atrophic rhinitis mcb 10

03.08.2020

Why should a doctor prescribe treatment for chronic vasomotor rhinitis? What are the causes of the development of the disease and its main symptoms? What prevention methods can be used?

In recent years, among diseases of the ENT organs, a significant increase in the prevalence of chronic rhinitis has been noted. Among the chronic forms of rhinitis, vasomotor rhinitis occupies a large place. What it is?

Chronic vasomotor rhinitis is a disease that affects the nasal mucosa due to dysregulation of general or local vascular tone.

ICD-10 code (International Classification of Diseases 10 revision) - J30.0.

According to the etiological factor, an allergic or neurovegetative form of the disease is distinguished.

The disease can be caused by physical, chemical or toxic factors. Other types of vasomotor rhinitis:

psychogenic, in which vascular imbalance develops in connection with the lability of the autonomic nervous system;
idiopathic;
mixed.

The reasons for the development of the disease

The pathogenesis of the neurovegetative form of vasomotor rhinitis is based on dysfunction of the autonomic nervous system, both the autonomic nervous system of the nasal cavity, and general vegetative-vascular dystonia.

The imbalance between the departments of the autonomic nervous system in vasomotor rhinitis occurs due to an increase in the tone of one or a decrease in the tone of another of its departments. This pathological process can be initiated by many external and internal factors.

An imbalance in the autonomic nervous system can result in gastroesophageal or laryngopharyngeal reflux, which is also a trigger factor for the disease.

The trigger factor is often a previous respiratory viral infection. Nonspecific reasons may be: tobacco smoke, strong odors, ozone, pollutants, alcohol intake, a sharp change in the temperature of the inhaled air.

Cold air is the main nonspecific trigger of the chronic form of the disease. The increased ozone content in the inhaled air damages the epithelium, increases the permeability of blood vessels. Leukocytes and mast cells begin to migrate into the mucous membrane, stimulating the production of neuropeptides - mediators that are involved in the formation of nasal hyperreactivity in vasomotor rhinitis.

Mechanical factors that can cause symptoms of pathology, provided there is nasal hyperreactivity:

trauma to the nose, including surgery;
deformation of the nasal septum, the presence of sharp ridges and spines that are in contact with the side wall of the nasal cavity;
forced exhalation through the nose;
increased blowing out.

An imbalance in the autonomic nervous system can result in gastroesophageal or laryngopharyngeal reflux, which is also a trigger factor for the disease.

The allergic form of vasomotor rhinitis occurs as a result of exposure to various allergens:

pollen of plants during their flowering period;
book and house dust;
feather of birds;
hair, pet dander;
daphnia (dry food for fish);
food products: citrus fruits, honey, strawberries, milk, fish;
perfumery.

In the pathogenesis of allergic rhinitis, there is a specific IgE-dependent reaction between the allergen and tissue antibodies, as a result of which mediators of the allergic reaction (histamine, serotonin, tryptase) are released, which are involved in the formation of nasal hyperreactivity and the development of clinical signs.

Symptoms of chronic vasomotor rhinitis

The main symptoms of the disease are:

prolonged difficulty in nasal breathing;
nasal congestion;
persistent or recurring clear nasal discharge;
a feeling of mucus flowing down the back of the throat;
headache and decreased sense of smell, lacrimation.

As a result of increased permeability of blood vessels, the volume of the inferior turbinates increases, which leads to nasal congestion. This symptom occurs in the form of attacks and is characterized by the onset of profuse mucous or watery nasal discharge and paroxysmal sneezing.

When turning and changing the position of the head, nasal congestion can alternately change from one half to the other. Persistent obstruction of nasal breathing appears as a result of turbinate hypertrophy, which develops in chronic rhinitis. Also, patients may have signs of vascular dystonia:

acrocyanosis;
low blood pressure;
drowsiness;

Diagnostics

Basic and additional diagnostic measures aimed at identifying the disease:

detailed collection of complaints and anamnesis;
anterior, posterior rhinoscopy;
x-ray examination of the nose and paranasal sinuses;
functional examination of the nose;
endoscopic examination of the nasal cavity;
bacterioscopic and bacteriological examination of discharge from the nasal cavity, determination of sensitivity to antibiotics;
cytological examination of the nasal mucosa;
computed tomography according to indications;
determination of IgE;
conducting an allergy test.

During rhinoscopy, depending on the form of vasomotor rhinitis, the following symptoms may be visualized:

hyperemia and edema of the mucous membrane of the nasal cavity, its pallor or cyanosis, polyposis changes;
pathological discharge, mucus;
crusts;
thinning of the bone structures of the nasal cavity;
false hypertrophy of the shell;
vitreous edema.

To detect changes in the mucous membrane of the nasal cavity, a test is performed with anemization with adrenergic agonists. After lubricating the mucous membrane of the nasal concha with a 0.1% solution of adrenaline, they decrease to normal size with edema. If the turbinates are enlarged due to hyperplasia of the bone skeleton, their size does not change significantly.

The cause of nasal hyperreactivity must be established. In cases where it is not possible to establish an association of symptoms with a specific trigger factor, vasomotor rhinitis is defined as idiopathic.

In a clinical analysis of blood with an allergic form of vasomotor rhinitis, eosinophilia is detected, leukocytosis is possible when a secondary infection is attached.

To exclude concomitant acute and chronic pathologies of the ENT organs (presence of sinusitis, adenoids, curvature of the nasal septum, etc.), an X-ray examination of the nose and paranasal sinuses is performed.

The cause of nasal hyperreactivity must be established. In cases where it is not possible to establish an association of symptoms with a specific trigger factor, vasomotor rhinitis is defined as idiopathic.

According to the testimony of the patient is sent for a consultation with an allergist, pulmonologist, neurologist.

Vasomotor rhinitis should be differentiated from hypertrophic rhinitis.

Treatment of chronic vasomotor rhinitis

The approach to the treatment of the disease should be comprehensive, taking into account the concomitant diseases and the general condition of the body. The goal of therapy is to restore nasal breathing and improve the quality of life.

Drug treatment includes:

systemic antihistamines (Zyrtec, Loratadin);
local antiallergic agents in the form of drops, spray or gel (Azelastine, Levocabastine);
decongestants (vasoconstrictor drugs - Tizine, Oxymetazoline) in a short course, no more than 7-8 days;
endonasal blockade with procaine;
intramucosal administration of glucocorticoids (Nasobek, Avamis, Fliksonase).

A rational approach to the use of vasoconstrictor drops is very important, since their long-term use necessitates an increase in their dose to achieve a greater effect. This, in turn, can lead to the following undesirable phenomena:

headache;
increased blood pressure;
reactive hyperplasia of the nasal mucosa, especially of the inferior turbinates;
bone hyperplasia;
aggravation of the imbalance of the autonomic nervous system;
obstruction of the lumen of the nasal cavity, which can no longer be eliminated with decongestants.

To restore the state of the epithelium of the nasal mucosa, it is recommended to use special immunomodulatory drugs (IRS 19).

Irrigation of the nasal cavity with saline, sea water or antiseptic solutions (Miramistin, Octenisept) has a positive effect.

Physiotherapeutic methods have a normalizing effect on microcirculation in the mucous membrane in chronic rhinitis:

exposure to UHF currents (ultra-high-frequency therapy) or microwaves endonasally;
endonasal ultraviolet irradiation through the tube;
exposure to a helium-neon laser;
endonasal electrophoresis of 0.25–0.5% solution of Zinc sulfate, 2% solution of Calcium chloride;
ultraphonophoresis with hydrocortisone ointment, Splenin;
insufflation (inhalation) of Rinofluimucil, Octenisept (diluted 1: 6) into the nose;
acupuncture.

In a clinical analysis of blood with an allergic form of vasomotor rhinitis, eosinophilia is detected, leukocytosis is possible when a secondary infection is attached.

How to cure chronic vasomotor rhinitis if conservative therapy is ineffective? The solution to the problem may be surgery. According to the indications, it is performed:

submucosal vagotomy of the inferior turbinates;
ultrasonic or microwave disintegration of the inferior turbinates;
submucous laser destruction of the inferior turbinates;
sparing lower conchotomy.

Laser technologies make it possible to optimize surgical procedures in the treatment of vasomotor rhinitis and shorten the rehabilitation period for patients. A low-power high-energy laser is used. Upon contact, it does not cause extensive tissue necrosis, which has a positive effect on the timing of laser wound healing.

In the chronic course of vasomotor rhinitis, periodic examination by an otorhinolaryngologist is necessary. This is associated with a high risk of developing chronic inflammatory diseases of the paranasal sinuses, middle ear, pharynx, and larynx.

Patients are advised to follow a diet with limitation of spicy foods, sweet, excessively hot foods. Non-drug treatment also includes breathing exercises, which are aimed at preventing the common cold and upper respiratory tract diseases. Based on the positive reviews, regular exercise can improve your overall physical and psychological well-being.

It is necessary to treat common diseases (neuroses, endocrine dysfunction, diseases of internal organs). Provoking factors, active and passive smoking are eliminated.

Prevention

Main preventive measures:

elimination of exogenous and endogenous factors supporting the disease;
remediation of purulent-inflammatory diseases of the oral cavity, nasopharynx, paranasal sinuses;
therapy of somatic diseases: pathologies of the cardiovascular system, kidneys, diabetes mellitus, obesity, etc.;
improving the hygienic conditions of life;
spa treatment;
maintaining a healthy lifestyle;
hardening procedures, impact on reflex zones (contrast shower, short-term dousing with cold water on the soles of the feet);
vitamin therapy and rinsing of the nasal cavity with saline or antiseptic solutions at home in the autumn-spring period;
breathing exercises.

Video

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Vasomotor rhinitis, also called "false rhinitis", is usually called a violation of the activity of the vessels lining the mucous membrane of the nasal passages. The disease can be imagined as a runny nose, flowing without inflammatory signs. Hence the second name of the disease.

One of the characteristic symptoms of vasomotor rhinitis is nasal congestion, and alternate - first lays one nostril, then the other. However, sometimes patients complain of complete nasal congestion.

Vasomotor rhinitis - microbial code 10 j30.0 - is often characteristic of adults and children who have reached 6-7 years of age and older, and affects in most cases female representatives. The course of the disease is usually protracted, and with frequent relapses, the mucous membranes change their structure, thicken, and the disease flows into the chronic stage.

Symptoms of vasomotor rhinitis

The main symptoms of the disease are, as a rule:

nasal congestion - complete, less often alternating;

frequent bouts of sneezing;

decreased sense of smell;

fast fatiguability;

sleep disorders;

loss of appetite;

general weakness;

memory impairment;

transparent discharge from the nose - thick or, conversely, watery;

nasalness;

runoff of mucous secretions along the back wall of the larynx, etc.

The symptoms and treatment of vasomotor rhinitis are two factors that directly depend on each other. Depending on the severity of the disease, a number of certain drugs are prescribed, the dosage is adjusted for each specific case of the disease.

Pregnant women and treatment of vasomotor rhinitis

Very often, pregnant women who suffer from this ailment turn to the doctor. What treatment to choose for expectant mothers so that it is both effective and harmless to the health of the baby at the same time?

Treatment of vasomotor rhinitis during pregnancy usually occurs in the third trimester, since it is during this period that the disease affects women who are expecting a baby. Many doctors recommend not to take any radical therapeutic measures, but to limit ourselves only to eliminating symptoms to alleviate the condition and simply waiting out the painful period.
Doctors advise using natural remedies to relieve symptoms of vasomotor rhinitis. For example, you can put into your nose not drops bought at a pharmacy, but beet, apple or carrot juice.

Vasomotor rhinitis and methods of its treatment

For the treatment of vasomotor rhinitis, drugs, physiotherapy, surgery, acupuncture, hardening programs, and nasal blockages are most often used.

Drug therapy includes the use of:

antiallergic nasal drops;

special nasal sprays that reduce the amount of discharge;

vasoconstrictor drugs that effectively fight unpleasant symptoms of the disease;

nasal sprays with corticosteroid hormones;

rinsing the sinuses with saline solutions, etc.

Ultrasound, magnetotherapy, electrophoresis, etc. are used as physiotherapeutic procedures. In the event that conservative treatment is ineffective or completely ineffective, they resort to the treatment of vasomotor rhinitis through surgery. Interventions are minimally invasive operations on the vascular network of the nasal passages.

It is important to use drops in the nose with vasomotor rhinitis only during the period prescribed by the attending physician. Long-term use of such drugs can cause addiction to the body, as well as provoke the appearance of drug-induced rhinitis - a severe form of the disease that is very difficult to treat.

Hardening programs are very helpful in vasomotor rhinitis. They consist in taking foot or hand baths immersed in cool water. Gradually, the temperature of the water should be lowered, bringing it to cold.

Nasal blockages with various steroid hormones (for example, hydrocortisone) are the introduction of drugs into the tissues of the turbinates that reduce inflammation, relieve swelling and allow the patient to breathe more freely. Despite the fact that this method has a pronounced therapeutic effect, it must be used extremely carefully, so as not to cause serious harm to human health.

Treatment of chronic vasomotor rhinitis

One of the causes of chronic rhinitis is the inflammatory course in the paranasal sinuses. In this case, secretions containing pathogenic microflora drain into the nasal cavity, irritating its mucous membranes and causing prolongation of the disease.

How to treat chronic vasomotor rhinitis? What tools are effective in this case? As a rule, therapy begins with eliminating the causes that could provoke the onset of the disease. Doctors recommend getting rid of dust sources in the apartment, regularly humidifying and ventilating the room, enriching the diet with a large amount of food containing vitamins and nutrients (fruits, vegetables, fish, herbs, etc.).

As for taking medications, doctors most often prescribe nasal drops, for example, a 5% solution of protargol. In each nostril it is necessary to instill 5 drops of the drug three times a day. UHF, microwaves are considered quite effective. Also, doctors prescribe to patients the intake of vitamin complexes, inhalations, rinsing the nose, etc.

chronic atrophic rhinitis

A large medical dictionary. 2000.

See what "chronic atrophic rhinitis" is in other dictionaries:

atrophic anterior rhinitis - (r. atrophica anterior; synonym of P. dry front) chronic atrophic R. with localization of the process in the front parts of the nasal cavity, mainly in the area of \u200b\u200bits septum; often leads to perforation of the nasal septum ... Comprehensive Medical Dictionary

Rhinitis - ICD 10 J30.30., J31.031.0 ICD 9 472.0 ... Wikipedia

Atrophic rhinitis - ICD 10 J31.031.0 ICD 9 472.0472.0 DiseasesDB ... Wikipedia

Rhinitis - I Rhinitis (rhinitis; Greek rhis, rhinos nose + itis; synonym for runny nose) inflammation of the nasal mucosa. Distinguish between acute and chronic R. As independent forms, vasomotor R. is distinguished, which in turn is subdivided into ... ... Medical encyclopedia

RHINITIS CHRONIC ATROPHIC SPIRIT - honey. Chronic fetid atrophic rhinitis is an atrophic process of the mucous membrane and bony walls of the nasal cavity, accompanied by the formation of a secret that dries up into a fetid crusts, a dense layer covering the mucous membrane. In women in ... ... Handbook of diseases

RHINITIS CHRONIC ATROPHIC SIMPLE - honey. Simple atrophic chronic rhinitis, chronic rhinitis, characterized by atrophy of the mucous membrane of the cavity, sometimes nasal concha, with the formation of a viscous exudate and crusts. Clinical presentation Dry nose Unpleasant sensations ... ... Handbook of diseases

RHINITIS CHRONIC - honey. Chronic rhinitis is a nonspecific dystrophic process of the mucous membrane and, in some cases, the bony walls of the nasal cavity. Frequency Surveys of healthy people without rhinitis showed that 40% of them had symptoms of nasal cavity lesions ... ...

RHINITIS ALLERGIC - honey. Allergic rhinitis is an inflammatory disease manifested by a complex of symptoms in the form of a runny nose with nasal congestion, sneezing, itching, rhinorrhea, and swelling of the nasal mucosa. Frequency 8 12% of the general population. Prevailing age of onset ... ... Disease Handbook

RHINITIS - (syn: runny nose) - inflammation of the nasal mucosa. Acute rhinitis can be an independent disease (hypothermia is mainly a predisposing factor) or a symptom of acute infectious diseases (influenza, measles, diphtheria and ... ... Encyclopedic Dictionary of Psychology and Pedagogy

RHINITIS - honey. Rhinitis (runny nose) is an inflammation of the nasal mucosa, characterized by nasal congestion, rhinorrhea, sneezing, and itching in the nose. Classification (summary of the 1994 international agreement on the diagnosis and treatment of rhinitis) Infectious ... Directory of Diseases

J31 Chronic rhinitis, nasopharyngitis and pharyngitis ICD 10

Respiratory viruses occupy a prominent place among the causes of the development of acute laryngitis in up to 90% of cases, followed by bacterial staphylococci, streptococci, chlamydial and fungal infections. The acute form of the disease, pharyngitis often occurs as a result of the action of irritating factors on the mucous tissue of the throat. Abscessing or phlegmonous laryngitis - acute laryngitis with the formation of an abscess, chondroperichondritis of the larynx - acute or chronic inflammation of the cartilage of the larynx, the presence of a dense infiltrate in the tissues of the larynx, chondritis, radiating into the ear, in which the inflammatory process captures the perichondrium and the surrounding tissues of the supra on the scooped laryngeal folds; manifests itself as sharp pains during swallowing and phonation, an increase in body temperature. It is important to avoid overheating of the testicles, the stronger sex is taught this from childhood. Information about what is acute pharyngitis code according to the microbiology. Febrile temperature, as a rule, reflects the addition of inflammation of the lower respiratory tract or the transition of catarrhal inflammation of the larynx to phlegmonous. The first, besides purified water, what to do with an attack of pancreatitis is to refuse food and any drinks. Antibiotics for purulent sore throat should be prescribed by a doctor, preferably after a preliminary examination and a test for sensitivity to the drug. Chronic hyperplastic laryngitis - chronic laryngitis, characterized by diffuse hyperplasia of the laryngeal mucosa or limited hyperplasia in the form of nodules, mushroom eminences, folds or ridges. Mediawiki ltr sitedir-ltr ns-1 ns-special mw-special-Badtitle page-service_invalid_name skin-vector action-view vector-animateLayout. The accessory lobe and the accessory mammary gland are formed from elements of the gland tissue, the subclavian and axillary regions, which are located close to the immediate mammary glands: the area of \u200b\u200bthe pectoral muscles. Mercury poisoning can occur in both domestic and industrial settings. Laryngitis is an inflammation of the larynx of any etiology. The iLive portal about a person and his healthy life. Acute laryngitis relatively rarely develops as an independent disease and can be inflammatory and non-inflammatory in nature. Consider what are the nasal drops for pregnant women, the most effective and safe drugs. Prevention of the chronic inflammatory process of the larynx consists in the timely treatment of acute laryngitis, smoking cessation, infectious diseases of the upper and lower respiratory tract, gasgroesophageal reflux disease, adherence to the voice regime. In addition, microbiological, mycological, histological studies are necessary; in some cases, to identify the etiological factors of the disease, diagnostics using PCR is carried out. The disease can occur with periodic exacerbations and stages of remission. Today we will talk about what the diet should be in case of exacerbation of pancreatitis. Sore throat, redness of its mucous membrane, cough, slight fever.

Description, symptoms and treatment of allergic rhinitis (ICD-10 code)

Allergic rhinitis is a disease that is caused by allergic substances. A characteristic feature is the presence of a developing inflammatory process of the nasal mucosa. The disease has many unpleasant symptoms. In addition, neglected cases can turn into serious complications.

Epidemiology

Now the probability of getting allergic rhinitis is quite high. Statistical studies record the susceptibility of allergies in a quarter of the population who live in industrialized areas. If the situation in cities is unstable on an ecological basis, then this figure can increase up to a third. These are quite serious numbers.

WHO predicts that allergic diseases will take the second position. They only "lose" to mental illness. It should be noted that allergic rhinitis leads to the development of polysensitization and other complications of an infectious type. All this happens against the background of a decrease in immune function.

The disease is already considered one of the problems of world health. WHO closely monitors the development of the disease when projected onto the entire population of the globe. Based on the analysis, decisions are made that affect the reduction of morbidity.

This approach is accompanied by several factors:

at the moment, the incidence of diseases ranges from 10 to 25% of the total number of cases of all diseases;

there are prerequisites that allow us to talk about a subsequent increase in the incidence;

studies prove that the disease can lead to bronchial asthma;

allergic rhinitis knocks out adults and children, reduces labor productivity, physical and mental activity.

In the European Union, about 1.5 billion euros are allocated for treatment per year. This indicator indicates the feasibility of introducing the latest methods of diagnosis and treatment of the disease. The approach to prevention must also be changed. The system should be structured, general requirements drawn up.

Classification

ICD-10 is a general classifier of various diseases. The system is very convenient, as each disease has an individual code. The number “10” indicates how the general classification was revised. The list was developed by WHO in 2007, and the system has been modified exactly 10 times until today. Starting this year, ICD-10 is considered a kind of benchmark for diagnosing diseases.

Any disease is assigned a code here, which consists of a letter and a number. Thus, a sufficient number of characters are typed to cover the entire spectrum of diseases and their subdivisions. Allergic rhinitis is designated J30. Depending on the type of ailment, the ICD-10 code can be supplemented with numbers through a dot.

J30.0 vasomotor;
J30.1 arising from the influence of plant pollen;
J30.2 seasonal;
J30.3 caused by a number of other external reasons;
J30.4 arising from unknown factors.

Causes and symptoms

The disease manifests itself under the influence of allergens, which are transmitted by the air. The most common are: dust deposits, pet saliva, insects, plant allergens, and mold. The disease is sometimes accompanied by inflammation of the lower respiratory system. In this case, it is better to see a doctor right away.

Before the direct appointment of treatment, specialists analyze the general condition of the patient, study the characteristic symptoms and complaints. The main symptoms that characterize allergic rhinitis include:

runny nose with profuse snot discharge;
sneezing attacks;
congestion of the nasal passages.

Diagnostics

Diagnosing a disease requires not only studying the symptoms, but also performing a number of laboratory tests. According to symptomatic signs, for a preliminary diagnosis, it is necessary to detect at least two. Further, a general examination, rhinoscopy or endoscopy are carried out. During the examination, edema of various development, discoloration of the mucous membrane, discharge of a watery character with the presence of foam are revealed.

If the disease proceeds in an exudative form, then in the nasal passages there is a serous exudate. Then the patient already has rhinosinusitis. Cases have been recorded when the disease was accompanied by the appearance of polyposis tumors. In this case, polyps can form in different parts of the nasal cavity.

For treatment, methods of antiallergenic therapy are used, in which elements of restoration of immune function are provided. In addition, the treatment should be accompanied by the use of pharmacological agents. Allergen-specific immunotherapy consists of treatment with special allergens, the dosage of which is gradually increased. Usually, drugs are injected under the skin.

We figured out what allergic rhinitis is, what place it takes in the ICD-10. To determine the type of disease, you must consult a doctor. The specialist will prescribe all the necessary course of treatment and put the patient under systematic control. It is important to do everything in a timely manner, because the disease can develop into a more severe form and develop other dangerous diseases.

Acute rhinitis code mkb 10

ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Ministry of Health of Russia dated 05/27/97. According to ICD 10, allergic and acute rhinitis have an extremely similar code. This testifies to the cross points in their course (see Development stages).

Stage I - dry, characterized by a feeling of dryness and tension in the nose, nasal congestion, swelling of the mucous membrane II - wet. The course of acute catarrhal rhinitis depends on the state of the mucous membrane of the nasal cavity before the disease: if it is atrophied, the reactive phenomena will be less pronounced, and the acute period will be shorter.

In infancy, acute rhinitis is always dangerous, especially for weakened children prone to various pulmonary, allergic complications. ICD 10 is a unified international classification of diseases, where each individual disease has its own code. The figure "10" indicates the number of the adopted revision.

The disease is most widespread in the autumn-winter and spring-winter periods. The clinical picture is aggravated by a decrease in local and general immunity due to previous factors (in particular, hypothermia). The extreme stage of these processes is the desquamation of the epithelium, the development of erosive damage to the mucous membrane and degenerative phenomena in the deep-lying tissues. There is evidence that in the most advanced cases, acute rhinitis is capable of affecting even bone tissue. The nose changes both externally and internally, the main septum is deformed.

Gradually, rhinitis becomes more pronounced. Acute rhinitis in its peak development is characterized, first of all, by the appearance of a colored discharge. Finally, it should be remembered that allergic rhinitis disappears on its own without the presence of an allergen.

Reducing the swelling of the mucous membrane, improving nasal breathing, the discharge becomes mucopurulent (at first - in large quantities, then gradually decreases). With hypertrophy of the mucous membrane, on the contrary, acute phenomena and the severity of symptoms will be expressed much more sharply, the course will be longer. Features in infections Influenza rhinitis is characterized by hemorrhages, up to profuse nosebleeds, rejection of the epithelium of the mucous membrane of the nasal cavity by layers.

Prevention. Tempering the body to cooling, overheating, humidity and dryness of the air. Struggle for the purity of air in work and living quarters, maintaining optimal temperature and humidity in them. Medicines or medicines included in the pharmacological group. In everyday life, such a complex definition has been replaced by the banal word "runny nose." In these seasons, there are constant changes in temperature, high humidity, frequent rains - all these are conditions that contribute to the occurrence of nasal pathologies.

Chronic illness, fatigue, overexertion at work, lack of sleep and constitutional features - all this destructively affects the general condition of the body. In such a situation, the disease is assigned a new code, and the diagnosis is corrected, according to ICD 10. Of course, allergic rhinitis like this does not reach such stages.

In the first stage, patients mostly complain of dry nasal passages, burning and scratching sensations, frequent sneezing, and constant annoying itching. The condition is complemented by general symptoms. The second stage of its development is characterized by the appearance of a transparent discharge in large quantities, swelling of the mucous membrane. Also, the mucous membrane thickens not only along the nasal passages, but also in the sinuses (the space of the paranasal pockets decreases, which can result in stagnant, chronic inflammation).

However, there are a number of differences. The main ones lie in etiological or causal factors. Firstly, the first variation of the common cold often manifests itself in the spring and summer.

Acute rhinitis - description, causes, treatment.

The feeling of nasal congestion is growing, nasal breathing is sharply difficult (often absent), profuse mucous discharge from the nose III - suppuration. TREATMENT Management tactics The regimen is in most cases outpatient.

With the penetration of pathogens into cells, a typical pathological reaction to this type of interaction develops - inflammation. People with initially reduced resistance are especially susceptible to this process. Morphological changes correspond to the course of a typical pathological process.

Allergic rhinitis is characterized by the same pathogenetic course, although the factors causing it are somewhat different (see. Etiology of acute rhinitis). According to ICD 10: "Acute rhinitis is an inflammatory process of a nonspecific nature and an urgent course with localization in the mucous membrane of the nose and its passages."

Allergic rhinitis - mkb code 10

Due to the unstable environmental situation in the world, the number of allergies continues to grow. Approximately 25% of the world's population suffers from allergic rhinitis (hay fever), which is a risk factor for the development of bronchial asthma.

In childhood, it provokes the development of adenoiditis, otitis media, sinusitis, throat diseases. Allergic rhinitis (AR) Is an IgE-dependent inflammation of the nasal mucosa caused by allergens. Patients rarely associate hay fever with illness, despite the violent symptoms impairing work capacity and quality of life in general. Therefore, self-therapy is used for treatment, which often only aggravates the inflammatory process.

It turns out a vicious circle - there is no disease - the symptoms do not give life. There is some kind of confusion. The patient does not want to be treated, but he buys various drops at the pharmacy to relieve symptoms. Let's figure it out.

Classification of rhinitis according to ICD 10

From the point of view of medicine, allergic rhinitis is, of course, a pathology, and is highlighted in the international classifier of diseases (ICD-10) as a separate disease - J30.0 Vasomotor and allergic rhinitis. This code is attributed to allergic, vasomotor and spasmodic rhinitis, except for allergic rhinitis, which occurs against the background of bronchial asthma (J45.0).

In the literature, allergic rhinitis is more often referred to as hay fever or hay fever. But under all these names one and the same disease is covered, accompanied by abundant transparent discharge from the nose, sneezing, swelling of the nasal cavity, mucus dripping down the back of the throat, and headache.

According to the ICD-10 classification, hay fever belongs to the block J30 – J39, which is called "Other diseases of the upper respiratory tract." Allergic rhinitis includes positions J30.0 – J30.4. We provide their exact definition according to ICD-10:

J30.0 Vasomotor rhinitis and allergic rhinitis.
J30.1 Allergic rhinitis due to pollen (caused directly during pollen dispersal);
J30.2 Other seasonal allergic rhinitis.
J30.3 Other allergic rhinitis.
J30.4 Allergic rhinitis, unspecified (after differential diagnosis the diagnosis remained in question).
ICD-10 is used in international health care to clearly analyze and systematize various diseases. The classifier is reviewed every 10 years and the necessary adjustments are made. For ordinary patients, the coding of this system does not provide any useful information, and many have not even heard of it.

Allergic rhinitis (in other words - hay fever, hay fever), according to the classification, has its own types, let's dwell on them in detail.

The types of rhinitis are directly related to the cause of their appearance, but we will talk about this later. So, there are three types of pollinosis:
rhinitis that develops at a certain time of the year - seasonal or intermittent;
rhinitis that occurs at any period of the annual cycle is year-round, it is also called persistent;
rhinitis arising from constant contact with a certain type of allergen is professional.
These types of rhinitis are undoubtedly referred to as the acute form of AR, which develops along the chain: contact with an allergen - an instant reaction of the nasal mucosa (allergy).

Let us dwell on each type in detail in order to understand how these allergic rhinitis can differ.

Intermittent (seasonal) allergic rhinitis

Seasonal rhinitis is usually associated with pollen from a plant that is in the flowering phase. This phenomenon occurs in 80% of cases in spring and early summer. Poplar fluff, flowering lilacs, ragweed, lilies and many other plants become a direct threat to the development of hay fever.

Patients complain of morning swelling of the eyelids and pronounced redness of the eyeballs (proteins are "streaked" with small vessels). Sometimes hearing impairment is added - this indicates Eustachitis (inflammation of the Eustachian tube connecting two cavities: nasal and ear). The patient notices clear signs of congestion in the ears.

Nasal breathing is difficult due to severe swelling, although the appearance of snot is not always the case. But, in most cases, the patient will present the following complaints:
tickling in the nose;
pain and itching in the eyes;
sneezing;
sticking of the eyelids after sleep;
congestion in the nose and ears;
paroxysmal cough;
itching in the throat;
headache;
watery discharge from the nasal passages;
irritability,
apathy;
subfebrile temperature (not always);
depression.
How is seasonal (intermittent) rhinitis treated?

To begin with, protect the patient from the allergen as much as possible. For example, if there is ambrosia nearby, then you can mow the plant, but with poplar fluff, the situation is more complicated. For this, the following recommendations have been developed for people suffering from allergies:
wear safety glasses;
install protective screens on windows;
carry out frequent wet cleaning in the room;
carry a bottle of water with you (if possible, wash your face right on the street if you feel unpleasant symptoms);
do not touch allergens;
avoid walking in windy weather;
after walking, shake out your clothes and take a shower;
be sure to change into household items;
carry with you the drops prescribed by your doctor.
Persistent (perennial) rhinitis

Year-round allergic rhinitis has many causes and is difficult to treat. Therefore, the treatment regimen for this form is developed by allergists and immunologists based on the patient's complete anamnesis. The most common source of year-round hay fever is dust, animal hair, chronic infection in the nasopharynx, fungal microorganisms, a polluted room, and others.

The patient suffers from excruciating nasal congestion, which persists for a long period. The eyes are red, the eyelids are thickened, the mouth is constantly open. At night, coughing fits appear. Dark circles are visible under the eyes, and the tip of the nose is sometimes red in color.

Sinusitis, polyposis of the nasal cavity, otitis media and other inflammatory processes in nearby organs become a formidable complication of allergic rhinitis.

How to improve the condition of patients with persistent rhinitis?

The best way is to part with the allergen forever, but honestly, the task is not the easiest one. Most likely, the allergist will give the following recommendations:
use moisturizing devices;
do wet cleaning;
shake out blankets, bedspreads, pillows (in winter you can put bedding out in the cold, and in summer dry it in the sun);
moisturize the nasal mucosa (only a doctor selects the remedy);
use vasoconstrictor nasal drops with caution;
give up smoking and alcohol;
wash curtains more often;
purchase a vacuum cleaner that allows you to moisten carpets.
For an effective fight against year-round rhinitis, be sure to carry out a general cleaning of the room with the maximum disposal of unnecessary and old things that have accumulated dust reserves. All "mothballs" things - away! You do not need to shift them for years, and then cut them in the garage for decades. Old books, clothes, fur crafts, and many other things can accumulate harmful dust.

Professional allergic rhinitis

This type of rhinitis occurs against the background of constant human contact with a harmful substance (allergen). It can be anything. Miners are in contact with dust, doctors are in contact with drugs, for example, ethers, builders are susceptible to allergies with paints, varnishes, adhesives.

Of course, not everyone has an allergic reaction, but only those people who have a tendency to such a process.

Patients note that at home all symptoms decrease or disappear altogether. The most common symptoms of occupational allergic rhinitis are:
night snoring;
sore throat and coughing;
swelling of the eyes;
transparent snot;
lacrimation;
puffiness under the eyes and bags;
others.
How to eliminate a professional runny nose?

The answer is short - to change the occupation, or change the objects of labor. For example, change the detergent or choose a different mastic. No contact with the allergen - no problem.

Causes and predisposing factors for the development of allergic rhinitis

There is only one reason - an allergen. But why does not everyone develop the disease, but chooses its victims? Any pathological condition of the body has factors that help to cause illness. In our case, these may be:
anatomical problems of the nasopharynx;
genetic predisposition;
stress;
immunodeficiencies;
metabolic disorders;
prolonged contact with an allergen;
violation of blood clotting (increase);
hypotension;
frequent SARS;
dysbiosis;
gastrointestinal diseases;
antibiotic therapy.
To eliminate the causes of the disease and establish the correct diagnosis, it is necessary to undergo differential diagnostics. Otherwise, inadequate therapy will only exacerbate existing symptoms.

Diagnostic methods for rhinitis

During the visit, the doctor collects a detailed anamnesis: clarifies complaints, heredity, chronic diseases, social conditions. And only then assigns the following study (optional):
rhinoscopy;
provocative tests (endonasal);
rhinomanometry;
general and biochemical blood test;
coagulogram;
determination of specific antibodies in the blood;
general urine analysis;
testing for allergens;
computer bronchophonography;
According to the research results, consultations are carried out with an allergist, otolaryngologist, immunologist and other specialists.

Allergic rhinitis treatment

Allergic rhinitis code ICD-10 allows you to guide a doctor anywhere in the world. If the patient is in another country, he feels bad, but he has medical documents with him, then the ambulance doctor, using the codes, will be able to guess the reason for this condition. Such codes are relevant for diabetes mellitus, heart pathologies, bronchial asthma and other most dangerous diseases.

Allergic rhinitis (J30.0) is not easily treatable, therefore the main task is to exclude any contact with the allergen... If an allergen is found, there is a great chance to get rid of the problem forever. In other cases, symptomatic and anti-inflammatory therapy is selected.

Vasoconstrictors (naphazoline, oxymetazoline, otrivin), antihistamines (fenkarol, tavegil, telfast) and hormonal agents are used. Also used are cromones (cromosol, cromhexal), intranasal H1 blockers (allergodil, histimet spray), antileukotriene drugs. Often, combined agents are selected: clarinase, vibrocil, allergophthal, rhinopront and others.

It is not for nothing that ICD-10 distinguishes allergic rhinitis as a separate disease. Having familiarized yourself with the drugs that are prescribed for the treatment of hay fever, we can safely talk about serious and long-term therapy, especially when the allergen has not been identified.

There can be no question of self-treatment of pollinosis... There is only one algorithm: differential diagnostics - competent treatment under the control of laboratory and other diagnostic methods.

How to quickly cure allergic rhinitis

Allergic rhinitis according to ICD 10

Allergic rhinitis does not affect life expectancy, does not change mortality rates, but is chronic in nature and noticeably disrupts the normal functioning of a person.

Predisposing factors

The following factors contribute to the development of an acute rhinitis:
Chronic fatigue;
Constant overstrain at work;
Lack of sleep;
Hypovitaminosis and constitutional features of the body;
Contaminated air;
Hereditary predisposition.
Pollinosis is a very common disease. The number of patients in Russia ranges from 18 to 38%, in the USA 40% of children suffer from it, more often boys. Children under 5 years of age rarely get sick, an increase in the incidence is noted at the age of 7-10 years, the peak incidence is at the age of 18-24.

The prevalence of hay fever has increased more than fivefold over the past 10 years.

Allergic rhinitis can be year-round - persistent, and seasonal - intermittent.
Year-round rhinitis (persistent). The attack becomes chronic. A runny nose bothers at least 2 hours a day and more than 9 months a year. It is observed upon contact with household allergens (wool, saliva, dandruff and feathers of pets, cockroaches, mushrooms and house plants). This chronic rhinitis is characterized by a mild course without disturbing sleep and working capacity.
Seasonal rhinitis. A runny nose occurs after contact with an allergen for several hours during the flowering period. Acute rhinitis lasts less than 4 days a week and less than 1 month a year. It proceeds in more severe forms, disrupting night sleep and human performance.
Episodic. It appears rarely, only after contact with allergens (cat saliva, ticks, rat urine). Allergy symptoms are pronounced.
Since 2000, another form has been distinguished - a professional runny nose, which affects confectioners, livestock technicians, millers, pharmacists (pharmacists), workers in medical institutions and woodworking enterprises.
Distinguish mild, moderate and severe course of the disease.
With a mild runny nose, sleep is not disturbed, normal professional and daily activities remain, and severe painful symptoms are not disturbed.
With severe to moderate rhinitis, at least one of the following symptoms is observed:
- sleep disturbance;
- excruciating symptoms;
- violation of daily / professional activity;
- a person cannot play sports.

With a progressive course of the disease for more than 3 years, bronchial asthma appears.

ICD 10 is a unified classification of diseases for all countries and continents, in which each disease received its own code, consisting of a letter and a number.

According to ICD 10, hay fever belongs to diseases of the respiratory system and is part of other diseases of the upper respiratory tract. J30 is assigned to vasomotor, allergic and spasmodic rhinitis, but it does not apply to allergic rhinitis accompanied by asthma (J45.0)

ICD 10 classification:

J30.0 - vasomotor rhinitis (chronic vasomotor neurovegetative rhinitis).

J30.1 - Allergic rhinitis caused by pollen from flowering plants. It is also called hay fever or hay fever.

J30.2 - Other seasonal allergic rhinitis.

J30.3 - Other allergic rhinitis, eg perennial allergic rhinitis.

J30.4 - Allergic rhinitis of unspecified etiology.

Clinic and diagnostics

Acute allergic rhinitis is manifested by periodic disruption of normal breathing through the nose, transparent liquid watery discharge, itching and redness of the nose, repeated sneezing. All symptoms are based on contact with an allergen, i.e. a sick person feels much better in the absence of a substance that provokes an attack of an allergic disease.

A distinctive feature of acute hay fever from the usual infectious (cold) rhinitis is that the symptoms of the disease remain unchanged throughout its entire period. In the absence of an allergen, the runny nose goes away on its own without the use of drugs.

Diagnosis is based on symptoms, medical history, and laboratory tests. To confirm the diagnosis, skin tests, contact research using modern sensors are carried out. The most reliable method is a blood test for specific antibodies from the immunoglobulin E (IgE) class.

The main point in treatment is the elimination of allergens. Therefore, in a house where there is an allergy sufferer, there should be no pets and objects that collect dust (soft toys, carpets, fluffy bedding, old books and furniture). During the flowering period, it is better for a child to be in the city, away from fields, parks and flower beds; at this time, it is better to hang wet diapers and gauze on the windows to prevent the allergen from entering the apartment.

An acute attack is relieved with the help of antihistamines (Allergodil, Azelastine), cromones (Cromoglycate, Necromil), corticosteroids (Fluticasone, Nazarel), isotonic saline solutions (Quix, Aquamaris), vasoconstrictors (Oxymetazoline, Xylometazoline) ... Specific immunotherapy with allergens has proven itself well.

Timely, correctly carried out treatment can completely stop an existing acute attack, prevent the development of a new exacerbation, complications, and the transition to a chronic process.

First of all, preventive measures should be taken in relation to children with a burdened heredity, i.e. whose closest relatives and parents suffer from allergic diseases. The incidence rate of children increases to 50% if one parent is allergic, and up to 80% if both are allergic.

Restriction in the diet of a pregnant woman of foods that have a highly allergenic fame.

Elimination of occupational hazards in pregnant women.

To give up smoking.

Maintaining breastfeeding for at least 6 months, the introduction of complementary foods no earlier than five months of age.

With an existing allergy, it is necessary to be treated with courses of antihistamines, to avoid contact with allergens.

Allergic rhinitis, whether acute or chronic, has a negative impact on the patient's social life, studies and work, and reduces his performance. Examination and treatment is not an easy task. Therefore, only close contact between the patient and the doctor, compliance with all medical prescriptions will help to achieve success.

Sinusitis according to the ICD 10 guide

Sinusitis is an inflammation of the maxillary sinuses of the nose. In often non-professionals and the patients themselves, this name is mistakenly referred to as any inflammatory process in any of the paranasal sinuses. About sinusitis MKB 10 speaks differently, as about a separate disease. In professional medicine, any runny nose is called sinusitis, inflammation of the maxillary sinuses is isolated separately.

To classify all dangerous diseases, the official international medical organization WHO has developed a special reference book ICD 10, which contains a classification of dangerous infectious diseases that most often suffer from a modern person. Sinusitis ICD 10 is described using a system of special digital codes that carry information about the disease to a medical professional.

ICD 10 classification

The International Statistical Classification of Diseases and Related Health Problems is the official medical reference, which describes in detail all the most common and less common diseases encountered in the clinical practice of doctors in a colloquial way. Based on medical statistics, MKB 10 speaks of sinusitis as the most common disease of ENT organs, which occurs in every third patient in one form or another.

In the reference book for sinusitis, the ICB code, consisting of numbers and letters, differently describes the acute and chronic form of this disease.

For the accuracy of diagnosing the disease and the selection of the most effective drugs for sinusitis, the ICD code describes:

existing types of this disease,

its possible etiology;

symptomatology;

types of treatment

Having described in detail sinusitis, the ICB 10 handbook provides the attending physicians for successful clinical practice with detailed information on:

diagnosis of the disease;

approaches to diagnosis;

treatment of diseases in different countries and continents.

This handbook is intended to provide doctors with the most detailed information from the latest international medical statistics on the level of morbidity and mortality in different countries, within one country from a particular disease. For this, all diseases were given a special code, which consists of a letter and a number.

According to the ICD 10 handbook, sinusitis in its various forms is the most common infectious disease of ENT organs. Its complications lead to various pathologies and a high mortality rate among children and adults still in many countries of the world.

Inflammation of the maxillary sinus or sinuses is very common. There are many reasons why inflammation begins to develop in the maxillary sinuses. There is a predisposition to this disease if a person has:

chronic inflammation of the nasal cavity in the form of allergic rhinitis, nasal polyps, chronic rhinitis.

chronic inflammation of the teeth or upper jaw. The close proximity of the roots of the teeth of the upper jaw determines the penetration of infections into the sinuses from diseased roots or canals of decayed teeth.

chronic infections of the tonsils, adenoids. The close location of the adenoids and frequent inflammatory diseases in them cause inflammation of the nasal cavity and sinuses.

curvature of the nasal septum, deformation of the turbinates and passages. These features can be congenital, or acquired as a result of trauma and the development of purulent processes in the nose.

The danger of infection is that the sinus is a closed, limited cavity. Once in it, a bacterial or viral infection is in ideal conditions and begins to develop rapidly. High temperature, humidity, poor outflow from the sinus create excellent conditions for the reproduction of pathogenic microorganisms.

At the first stage, when the sinus inflammation process begins, mucus is formed, which makes breathing difficult. It is an excellent environment for the development of pathogens.

The prevalence of sinusitis

The main reason for the development of sinusitis is a bacterial infection. Among various bacteria, the following are more common:

streptococci and staphylococci (in particular St. Pneumoniae, beta-hemolytic streptococci, and S. pyogenes);

gram-positive and gram-negative bacteria;

mushrooms;

spirochetes and a number of other pathogenic protozoa.

Sinusitis today in its chronic form, many people suffer today. This pathology of the ENT organs, which is always caused by infection, ranks first in the world today among other diseases in otolaryngology.

The classification of the ICD 10 medical reference book is encrypted in an alphanumeric cipher that indicates to the doctor:

what types of diseases does this disease refer to;

what organs it affects;

the form of the course of the disease.

It looks like this:

the book refers to acute sinusitis as acute respiratory diseases of the upper respiratory tract and codes as J01.0,

xp. According to the medical classification, sinusitis belongs to other types of diseases of the respiratory system and has the J32.0 code. This encoding simplifies the storage of information important to the doctor and makes it easier to find.

The encoding may indicate the name of the infectious agent of chp. sinusitis using a special alphanumeric code:

B95 - streptococcus or staphylococcus;

B96 - bacteria, but not staphylococci and not streptococci;

B97 - viruses.

The code is assigned only to a known and studied causative agent of sinusitis.

As the statistics of ICD 10 show, sinusitis is usually sick in winter, after a flu or a cold pandemic. The disease is more often manifested in townspeople with a weakened immune system and little time in the fresh air in winter. In the city, the air contains more dangerous bacteria than in the countryside or in the forest.

The medical statistics of the ICD cites data according to which more than 10 million adults and children in Russia fall ill with one form or another of sinusitis every year. According to statistics, children suffer less from this infectious disease. In adults, sinusitis appears in a chronic form much more often.

Sinusitis and rhinosinusitis are more common in women. This is due to the fact that they are more likely to contact men with children of preschool and school age.

Symptoms of chronic sinusitis in adults are expressed in a complex manner, but most often patients complain of persistent headaches. This is due to the fact that, as a result of swelling of the nasal sinuses and the formation of purulent mucus in them, the respiratory function deteriorates and the infectious process passes into the upper calving of the cranium. In such cases, you should definitely see a doctor before starting to treat sinusitis on your own.

The characteristic symptoms of sinusitis can be observed when you press your finger on the forehead area located above the eyebrows. If pain is felt even after a slight pressure, then we can talk about how stuffy the nasal sinus is and what type of sinusitis the patient has.

Usually headaches appear as symptoms of acute sinusitis. In the acute stage, you should definitely see an otolaryngologist, who will prescribe a comprehensive treatment and select a suitable remedy for sinusitis with acute headaches.

Sinusitis can only be cured with complex therapy. Treatment of sinusitis requires the use of antibiotics, non-steroidal drugs and immunomodulators.

The cessation of nasal discharge with ongoing headache and temperature indicates the closure of the narrow excretory duct with thick pus or edematous mucosa. Nasal congestion without mucus release is an unfavorable sign, since in a closed cavity with continued inflammation, pressure will build up, which can lead to a breakthrough of pus into adjacent tissues: the upper jaw, orbit, under the periosteum of the skull bones.

The manifestation of such a symptom requires immediate medical attention. Otherwise, the mucus will accumulate in the sinus and disease-causing organisms will begin to develop in it. The result of their vital activity will be purulent formations. This can lead to infection of the sinuses of the skull and the entire body.

With purulent congestion, doctors try to eliminate stagnation with medication and remove purulent formations from the nasal sinuses. If therapy does not help, a sinus puncture is prescribed, which will help eliminate congestion and improve breathing. The internal pressure created in the nasal sinus by mucus is removed, and headaches disappear.

When inflammation occurs in the upper part of the skull, surgical interventions may be prescribed. These are dangerous medical procedures that are carried out with severe complications of sinusitis.

The danger of self-medication

From the information on sinusitis presented in the ICD 10 handbook, it is clear that it is impossible to cure such an infectious disease of the ENT organs on your own. The etiology and forms of the course differ too much in its types, requiring an individual selection of drugs for each patient.

Medical reference book of diseases ICD 10 encodes the complex nature of sinusitis disease, shows how it differs from ordinary sinusitis. Such reference literature carries a large amount of medical information that doctors use in their clinical practice in the treatment of sinusitis.

Acute rhinitis in children and adults: ICD-10, treatment, symptoms

Acute rhinitis (ICD-10 code: J00) is one of the most common ENT diseases among adults and children. About how dangerous a runny nose can be and how to properly treat it - read the article.

Acute rhinitis - what is it?

First of all, when inhaling through the nose, the air is cleared by more than one row of "filters". Hair removes the air from large-particle dust, and small particles catch the cilia of the epithelium, then disinfection, gluing takes place and in the form of mucus everything enters the nasopharynx. Therefore, the protective function of the nose is considered to be an integral function.

Also, hydration is an important mechanism. This function manifests itself in the form of an increase in the secreted fluid from the nose in case of irritation of the mucous membrane or its inflammation.

The thermo-regulating function makes it possible to warm the air in the nose.

The cause of blockage of any of the functions of the nose may be acute rhinitis.

Under such a frightening name is meant the well-known rhinitis. The inflamed mucous membrane cannot perform its tasks due to infectious or non-specific diseases. Most often, acute rhinitis in children and adults occurs during the cold period of time or in the transitional seasonality.

Absolutely all people have encountered inflammation of the mucous membrane, therefore, there are a lot of types of diagnostics and treatment of both medicinal and folk remedies.

Etiology and pathogenesis of acute rhinitis

In the etiology of acute rhinitis, in the first place are changes in human immunity for the worse and, as a result, the nasal cavity and nasopharynx are actively filled with pathogenic microflora.

Most often, pathology occurs in people who have chronic diseases with the slightest hypothermia. Moreover, a foreign body, trauma or surgery in the nasal cavity can cause acute coryza.

Acute catarrhal rhinitis can make itself felt under harmful working conditions in the chemical or mechanical industry.

Weakened immunity, lack of vitamins and minerals in the body, contact with sick ARVI, constant dampness, mold in the room, insufficient hygiene of the nasal cavity can also cause acute rhinitis in infants. Viruses and bacteria easily settle on the mucous membrane with a decrease in local immunity.

Any of the above reasons can become the foundation for the development of the disease. Acute rhinitis develops as an addition to serious infectious diseases: measles, scarlet fever, etc.

Classification and types of rhinitis

This is a constantly reminiscent of itself, a chronic form of the course of the disease, which entails discomfort and certain inconveniences for a person.

The vasomotor type refers to rhinitis, which can provoke stress, dry air, or infectious irritants.

As a result, there is: nasal congestion, breathing suffers, headache begins. Difficulty breathing can be immediate or prolonged. Treatment of this type of rhinitis is most often surgical.

Idiopathic rhinitis is usually divided into allergic and neurovegetative.

The name itself implies an allergic reaction of the mucous membrane to irritants such as chemicals, medicines, animal hair, dust, flowering plants, fluff, mold, fungus, insects (bites), pollen and even your favorite perfume.

This type of rhinitis is divided into:

To eliminate any of these types of rhinitis, it is necessary to identify a specific allergen and block contact with it.

This type of rhinitis occurs when there is a disturbance in the functioning of the nervous system, or rather, a disorder of the area that is responsible for the proper functioning of the nasal mucosa.

Divided into 3 types:

Acute - characterized by severe rhinitis, edema and hyperthermia.

Viral - with an increased amount of discharge, fever and difficulty breathing. As a rule, it is provoked by viruses that have entered the body. Treatment of this type of rhinitis is unacceptable with folk remedies.

Bacterial rhinitis, which develops against the background of an acute form and is distinguished by peculiar secretions, edema and headache, lasts at least 14 days.

Has two classes:

atrophic rhinitis, which is provoked by an atrophied mucous membrane and hypertrophic, most often occurs with hypertrophic changes;
rhinitis medication, another type of rhinitis that occurs when vasoconstrictor drugs are not taken correctly, therefore only a doctor should prescribe nasal drops. With frequent use, the tissue is at the stage of atrophy and the drugs no longer help relieve swelling. To put it simply, it is dependence on some kind of medicine.

It occurs with injuries due to damage to the nasal septum.

It is associated with a restructuring of the hormonal background, occurs most often in women during pregnancy.

Rhinitis in pregnant women goes away on its own when the body returns to its original state after childbirth. Therefore, you should not take medications so as not to harm the baby.

Experts believe that when an expectant mother is carrying a child, her hormonal background is subject to changes, the immune system decreases, and this entails the sensitivity of the vessel walls. Acute rhinitis during pregnancy can make itself felt not as hormonal, but infectious.

Stages of acute rhinitis

Acute rhinitis is usually divided into stages, which have their own differences in the course of symptoms and treatment methods.

The first stage is dry.

A runny nose that goes away without a profuse discharge from the nasal cavity.

Discharge of tears, frequent sneezing, irritation of the mucous membrane, discomfort, itching, or severe burning sensation indicate the presence of a dry runny nose.

In addition, a headache, fever, coughing, feeling unwell joins, because acute rhinitis is often manifested due to infection or a virus.

The second stage is wet.

Comes after the first stage lasting 2-3 days. Dryness and irritation in the nose develops into a wet stage with limited breathing through the nose.

Rhinorrhea and mucosal edema begin to rage in their element. An increased amount of mucus secretions of a transparent color contribute to dulling, or even a short-term loss of smell, nasalness during a conversation.

The third stage is mucopurulent.

The most vicious stage, the course time depends on the neglect of the previous stages. The symptoms remain, but the general condition improves.

The neglect of this stage is characterized by discharge from yellow to green, the mucus is thick and viscous to determine it is not difficult after the previous stage, where the discharge is transparent.

It is possible that acute purulent rhinitis can develop into a chronic rhinitis, threatening complications. This happens because the patient does not follow the doctor's recommendations or is engaged in improper treatment of acute rhinitis: it is necessary to monitor any runny nose, because the immune system of each person is arranged differently.

Someone needs to go through the first stage and be healthy, while someone needs to go through all the "circles of hell" for a complete recovery. It is important to follow the recommendations and not even run a harmless runny nose.

Causes of mucosal edema

There are quite a lot of them. It is important to highlight the frequently encountered ones:

non-ecological living conditions,
working conditions endangering a person,
any changes in growths, cysts, polyps,
nose injuries (burns, blows),
dysfunction of blood circulation,
enlargement of adenoids, sinusitis
diseases of the oropharynx,
allergic to any provoking allergen.
Acute respiratory viral infection can cause edema and an acute course of this disease. Do not forget about serious illnesses such as measles, etc.

In infants, coryza is common and causes inflammation of the nose and throat at the same time. Prevention of acute rhinitis or treatment with folk remedies will help alleviate the symptoms.

Rhinitis in older childhood is more difficult, with complications or transmission of infection to other areas associated with the nasopharynx.

The cause may be the overgrowth of the adenoids, due to their sensitivity in childhood, as they too often become inflamed, catching the infection at the beginning of its path, in order to prevent the disease.

Fighting bacteria, viruses increase in size, making it difficult to breathe, hear and smell. The specific structures of the auditory tube also entail the penetration of infections: not mature, wide or short, contribute to the development of otitis media. The middle ear, larynx, or pharynx may become inflamed.

Unstable immunity, which did not have time to get stronger due to its time, a low amount of mucosal immunoglobulin secretion, improper nasal hygiene, due to narrow nasal passages and inability to empty the nose from mucus - this is the main number of reasons that answer the question of why rhinitis in a child is such a frequent occurrence ...

Symptoms of acute rhinitis

Signs of acute rhinitis in adults and children are manifested by different symptoms, starting with discomfort - burning or itching.

The presence of a rapid loss of working capacity, poor sleep or, on the contrary, drowsiness, headache, in addition to the above symptoms, may also indicate the consequences of acute rhinitis.

With acute rhinitis, symptoms such as are observed:
partial or complete nasal congestion;
burning sensations, itching, pain in the nose and throat;
frequent sneezing;
headache;
dryness of the mucous membrane and the formation of crusts;
discharge of yellow, green, with an admixture of blood is characteristic;
loss of charm.
Also, due to prolonged nasal congestion, various complications can develop, such as sinusitis - an infection or inflammation of the mucous membrane of the sinuses.

In infants, symptoms caused by acute rhinitis may be as follows:
increased temperature 38-39 degrees;
convulsions;
refusal to breastfeed (the cause will be difficulty breathing through the nose);
there is a general loss of appetite;
poor sleep;
irritability, tearfulness;
stomach ache.
Children lose appetite, lose weight, sleep poorly at night.

Rhinitis of a newborn provokes flatulence and diarrhea due to a violation of the daily regimen and the presence of the above symptoms.

To find out a reliable diagnosis and how to treat the disease, it is not enough to know the symptoms. Reliable information can only be heard from the mouth of the attending physician: the doctor will conduct an examination, analysis, and carry out a qualified diagnosis of your condition.

Methods for the diagnosis of acute rhinitis

Rhinoscopy is a type of study that can only be carried out by a specialist, having previously interviewed the patient, fixing complaints.

This type of diagnosis is based on a visual examination of the anterior and posterior areas in the nasal cavity and is divided into classes:
Anterior rhinoscopy.
Middle rhinoscopy
Posterior rhinoscopy.
Each of these names speaks for itself. Certain areas of the nasal cavity are examined to confirm or exclude this or that pathology. The structure of the departments is studied, the condition of the nasal passage is assessed, by examination of the nasopharynx.

Bacteriological culture, another type of research: the doctor takes a swab from the nasal cavity in order to determine the causative agent of the disease. Correct diagnosis of the type of bacteria entails a well-prescribed antibacterial drug that will work with the effect at the right level for a person's recovery.

If there is a suspicion of allergic rhinitis, then a study is used to identify the allergen (skin tests), which provokes this ailment. The method of exclusion reveals an irritant, if there was one even before the onset of the disease.

Skin test

One of the complex types of research is endoscopic examination of the nasal cavity, which is divided into: flexible and rigid.

This type of study is carried out to identify such complex neoplasms as a cyst or other inclusions in order to assess the possible causes of the appearance of acute rhinitis. It is also possible to determine the structural changes that appeared at birth. It is not possible for a kid to carry out such a diagnosis without anesthesia.

Treatment and preventive measures

Preventive measures taken for acute rhinitis are not complicated.

It is worth not eating too cold foods, dressing for the season, playing sports, observing personal hygiene, hardening the body, taking folk and medicines that increase immunity, provide for early diagnosis and timely treatment of pathological changes.

In infants, physiological rhinitis is often not treated, but only mucus is sucked out of the nose using a nasal aspirator. However, in severe cases, when rhinitis in a newborn does not go away for several days, baby nasal drops are still used.

Treatment of acute rhinitis in adults, unlike children, is possible without pills and drops: folk remedies will come to the rescue, and most importantly, the correct toilet of the nose and its rinsing with saline solutions.

Home treatment without taking medication consists in performing simple measures:
Correct blowing out is necessary to remove mucus from the nasal regions.
Adequate drinking, providing rooms with moist and fresh air, with a cold, warming hands and feet.
Vasoconstrictor drops will help to facilitate breathing, reduce swelling.
The duration of admission is determined by the doctor and instructions for use.
Treat acute rhinitis effectively with physiotherapy.
If a person has acute allergic rhinitis, in this case, the doctor should prescribe antihistamines and vasoconstrictor drugs.
Bacterial and viral rhinitis will have to be treated in combination with antibacterial, antiseptic drugs, folk remedies will not help here.
Acute rhinitis: types and forms of the disease, signs, treatment, prevention

Acute rhinitis is a respiratory disease that manifests itself as copious nasal discharge of varying consistency and color. At the same time, there are different types of this pathology, in which various symptoms are manifested. It is an acute inflammation of the nasal mucosa.

Classification according to the ICD-10 code

The etiology of acute rhinitis manifests itself in an intense form with abundant discharge from the nasal passages. Sometimes the process affects exclusively the passages themselves, and sometimes the paranasal sinuses are also involved.

As a rule, the latter is already referred to as a complicated or runny form. ICD of acute rhinitis - J00.

Acute rhinitis is divided into several types, including:
Allergic, manifested both seasonally and year-round in the form of transparent discharge, sneezing, tearing, dry throat, sore throat, and so on.
Vasomotor also manifests itself, as well as allergic, but always has a limited time manifestation, for example, during the flowering period of a plant or as a reaction to a specific irritant - cold, dryness, and so on.
Viral rhinitis is provoked by viruses and manifests itself similarly to allergic rhinitis. At the same time, the symptoms of colds, flu or other acute respiratory infections often develop in parallel. There is catarrhal inflammation of the mucous membranes.
Hypertrophic is manifested to a greater extent by growth, followed by thickening of the mucous tissue in the nasal passages, which leads to difficulty breathing through the nose;
Atrophic is the opposite of the previous one and leads to thinning of the mucous membranes, as well as to dystrophy of bone tissues. It manifests itself with a dry type without discharge, and with a lake - with purulent discharge and a characteristic odor;
Infectious bacterial or fungal is manifested by the secretion of secretions with purulent contents.
Features of acute rhinitis:

Symptoms in adults and children

Symptoms are generally the same for all ages:
Discharge from the nose of varying consistency and color;
Sneezing;
Swelling of the mucous membrane;
Nasal congestion and impossibility of nasal breathing;
Headache;
Dry mouth.
In the photo, the symptoms of acute rhinitis

The disease passes through three stages:
Dry irritation;
Serous discharge (transparent);
Purulent discharge (yellow-green).
Diagnostic tests

Basically, the doctor needs a visual examination and listening to the patient's complaints. In the case of bacterial rhinitis, mucus can be taken for bacterial culture.

Nasal sinuses for different types of rhinitis

It is not advisable to treat rhinitis on your own, especially when it concerns children and pregnant women, since this pathology often not only causes complications, but also becomes chronic.

Self-selection of the drug is also impossible without a medical examination and diagnosis, since the same bacterial rhinitis has similar symptoms with atrophic purulent rhinitis (ozena), and the viral one is often confused with allergic rhinitis.

Rinsing of the nose is mandatory. Adults do this using a special teapot with a long nose. In the case of children, either a special aspirator bulb, or a small syringe of no more than 2 cubes, or a pipette are used.

Rinsing is done with different formulations depending on the type of disease, but the most commonly used saline or saline solution. Especially for children, there are preparations based on sea water, which take into account the dosage of the composition, as well as the method of administration in the form of special nozzles.

The principles of treating acute rhinitis in our video:

Comprehensive treatment principles

Treatment of any rhinitis is carried out in a comprehensive manner, depending on what type is detected. Most often used:
Antibiotics for bacterial rhinitis or osen (the latter is incurable, but it stops well if you approach the treatment process correctly);
Antiviral drugs for viral rhinitis;
Antihistamines of the general systemic or local type (depending on the patient's condition);
Inhalation and rinsing of the nose: with bacterial types - with a solution of furacilin, for the rest - with saline or saline solution.
In case of allergies - timely intake of antihistamines, elimination of the allergen as far as possible;
With vasomotor, it is important to eliminate the influence of the irritating factor;
For viral and bacterial infections, prophylactic treatment is carried out after contact with an infected person or before the period of epidemics;
Daily airing of the room;
Air humidification;
Timely examination and treatment of pathologies of ENT organs;
Strengthening immunity;
Rejection of bad habits.
The prognosis is generally positive for almost all types of rhinitis if therapy is carried out on time and in full as prescribed by the doctor. Hypertrophic and atrophic cannot be completely cured, but progression can be stopped and stopped.

A disease such as vasomotor rhinitis is characterized by the onset of an inflammatory process of the nasal mucosa of a non-infectious nature. It can occur at any time of the year in the presence of provoking factors. Vasomotor rhinitis can lead to a number of complications, since it disrupts many physiological processes associated with ensuring the flow of air into the nasal cavity and paranasal sinuses.

The essence of the disease

Vasomotor rhinitis is a functional disorder of the state and activity of the vessels of the nasal mucosa, due to which the tissues swell, the nasal cavity narrows and, as a result, there is difficulty in nasal breathing.

A similar condition occurs with factors that cause a non-standard reaction of the nasal mucosa to normal physiological irritations.

The reasons for the development of such a disease may be the following factors:

Predisposition to allergic reactions;

Hormonal fluctuations;

Pathology of the development of the nasal septum of a congenital nature or injuries;

Living in a cold and humid climate;

Bad habits.

However, the exact factors provoking the development of vasomotor rhinitis have not yet been conclusively established, so the list presented cannot be exhaustive.

Vasomotor rhinitis according to ICD-10

According to the International Classification of Diseases of the 10th revision, several types of vasomotor rhinitis are distinguished, each of which is assigned a special code.

Each subspecies of vasomotor rhinitis also has a similar code in accordance with ICD-10:

Rhinitis of an allergic nature caused by exposure to pollen is designated as J30.1;

Other seasonal allergic rhinitis is designated as J30.2;

Other allergic rhinitis (usually observed in a patient all year round) is coded with the J30.3 code;

According to ICD-10, the code J30.4 is assigned to allergic rhinitis of an unspecified nature.

ICD-10 also provides a standard of care for those suffering from a certain type of allergic rhinitis.

Types of disease and manifestations

Based on the nature of the disease, vasomotor rhinitis can manifest itself in two forms - allergic or neurovegetative. As for the forms of the course of vasomotor rhinitis of allergic origin, there are two of them: constant, or year-round, and seasonal.

Symptoms characteristic of the clinical picture of vasomotor rhinitis are manifested in:

The appearance of severe itching in the nasal cavity, and sometimes in the mouth and pharynx;

Scanty or copious watery discharge from the nasal passages;

Frequent sneezing in the form of seizures;

Drainage of mucous secretion in the nasopharynx and its accumulation there;

A feeling of tightness in the nasal cavities;

Decreased sense of smell;

Nasty voice;

Increased lacrimation and sweating;

Difficulty in nasal breathing.

In addition to the indicated basic symptoms of such a disease, severe weakness, pain in the head area, a sharp memory impairment, and insomnia can be observed. Such deviations occur, since disturbances in the process of nasal breathing lead to insufficient supply of oxygen to the lungs, which, in turn, disrupts the process of blood circulation in the cardiovascular system and the brain. Together, all these deviations lead to an increase in functional disorders of the nervous system.

Vasomotor chronic rhinitis

Chronic vasomotor rhinitis as a form of the disease occurs as a result of constant irritation by external factors, which can be both chemical and natural substances. Hence, we can conclude that chronic vasomotor rhinitis is of an allergic nature.

With this form, the disease is present all year round, regardless of the season. The main distinguishing symptom of persistent vasomotor rhinitis is the absence of periods of exacerbation and the stable nature of the course of the disease. The patient suffers from moderate symptoms all year round. However, the lack of proper treatment leads to a gradual aggravation of the condition and entails extremely negative consequences.

This form of vasomotor rhinitis has four main stages of development:

The stage of periodic seizures, in which the permeability of the vascular membranes is impaired. Long-term exposure to external factors, in which treatment is not carried out, leads to degeneration of the mucous layer of the nasal passages;

The stage of continuous attacks, characterized by almost constant difficulty in nasal breathing;

Formation of polyposis formations appearing in the layers of the mucous membrane;

Pathological changes in tissue structure.

Features of the neurovegetative form of vasomotor rhinitis

The neurovegetative form of vasomotor rhinitis is not due to a seasonal nature and depends on such provoking factors as pathological curvature of the nasal septum, prolonged inhalation of air saturated with chemicals and heavy vapors, as well as pathological processes in the cervical spine, disorders in the endocrine system, functional changes in the central nervous system.

The clinical picture of vasomotor rhinitis of a neurovegetative nature includes symptoms such as nasal congestion, discharge, and frequent sneezing. A feature of this form is that neurovegetative vasomotor rhinitis occurs with the onset of seizures, during which the listed symptoms are sharply exacerbated.

This type of disease requires clarification of the underlying cause. The course of treatment can be quite lengthy, because in this case we are talking about serious changes in important systems of the body.

Diagnosis of the disease

The diagnosis of a disease such as vasomotor rhinitis is based on an analysis of the symptoms that are actively manifested in the patient, as well as on the basis of the results obtained during the research.

Diagnosis of this disease involves the use of such methods:

Examination of the nasal passages (rhinoscopy);

A blood test to detect eosinophils;

Skin tests to determine the type of allergen;

CT scan;

Rhinomanomerism;

X-ray of the sinuses;

Endoscopic examinations.

Prevention of the disease

Vasomotor rhinitis can cause serious complications, including the formation of polyposis growths and the development of chronic diseases that affect the nasal cavity and sinuses. Since the treatment of the disease is a rather complex and lengthy process, it is much better to take measures to prevent its development, namely:

Do not abuse the use of vasoconstrictor drugs;

Timely treat diseases related to the upper respiratory tract;

Limit your stay in areas potentially dangerous to the respiratory system due to the presence of hazardous chemicals in the air;

In the presence of seasonal allergies, it is imperative to take measures to reduce the degree of exposure to the allergen;

Play sports and temper;

Control the psycho-emotional state, because this is the guarantee of the strength and tone of blood vessels.

Disease prevalence

Vasomotor rhinitis is an insidious disease, since it can occur even in a healthy person under the influence of minor factors. But most often this condition occurs in those who:

For a long time she has been using various medicines: vasoconstrictor drops, antidepressants, drugs for hypertension, drugs to increase potency;
Suffers from hormonal fluctuations. Often a similar phenomenon is observed in adolescence, as well as during pregnancy;
Suffers from vegetative-vascular dystonia, in which there is a general decrease in vascular tone in the body;
Has pathological defects of the nasopharynx;
Lives in difficult climatic conditions;
Often experiencing shocks and stress;
Has bad habits.

Allergic Rhinitis - Information Overview

Allergic rhinitis is a disease caused by allergens and is characterized by the development of IgE-dependent inflammation of the nasal mucosa. It manifests itself in the classic triad of symptoms: rhinorrhea, sneezing, impaired nasal breathing (often the sense of smell).

ICD-10 code

Epidemiology of allergic rhinitis

Currently, the incidence of allergic diseases is high. According to statistical reports, up to 25% of the urban and rural population living in highly industrialized regions suffers from allergies, and in ecologically unfavorable areas these figures reach 30% or more.

According to the WHO forecast, in the 21st century, allergic diseases will take second place, yielding in prevalence only to mental illnesses.In addition, the aggravation of the course of allergies, the development of polysensitization, and the frequent addition of various infectious complications against the background of immunological disorders are noted.

Respiratory diseases in the structure of the overall morbidity are consistently ranked second after cardiovascular pathology, accounting for about 19%. All this obliges us in everyday clinical practice to pay special attention to allergic pathology of the nose and paranasal sinuses.

Allergic rhinitis is a global health problem. The close attention of the international medical community to this issue is caused by a whole range of both medical and social aspects:

the incidence of allergic rhinitis is 10-25% in the general population;

observe a persistent trend towards an increase in the incidence of allergic rhinitis;

the influence of the disease on the development of bronchial asthma has been proven, the concept of "a single respiratory system, a single disease" is discussed;

allergic rhinitis reduces the social activity of patients, affects the working capacity of adults and the school performance of children;

the disease leads to significant financial costs. Direct costs for his treatment in Europe are at least 1.5 billion euros per year.

In this regard, it is advisable to introduce modern and effective regimens for the treatment of allergic rhinitis that comply with the principles of evidence-based medicine, as well as uniform requirements for prevention and diagnosis.

Causes of allergic rhinitis

The triggering factors for the development of allergic rhinitis are mainly airborne allergens. The most common household allergens are house dust mites, saliva and animal dander, insects and plant allergens. The main "external" allergens include plant pollen and molds.

There is also an occupational allergic rhinitis, which is most often accompanied by damage to the lower respiratory tract and is in the competence of occupational pathologists.

Allergic rhinitis symptoms

For an adequate assessment of the severity of the process, the correct choice of treatment method and accurate prosthetics of the course of the disease, the study of complaints and anamnesis is of great importance. It is necessary to accurately determine the form (intermittent or persistent) of allergic rhinitis for each patient. The main complaints of patients are: nasal discharge, nasal congestion and sneezing attacks. To establish a diagnosis, it is necessary to have two or more symptoms lasting at least 1 hour per day for a long time.

Vasomatorny rhinitis according to mcb

I was searching for VASOMATIC RHINITIS according to ICD- FOUND! ICD 10 - International Classification of Diseases 10th revision version:
2018. Allergic rhinitis caused by pollen. Allergy NOS due to pollen Hay fever Pollinosis. Coryza (Coryza) Overview of information. ICD-10 code. Allergic rhinitis:
classification, ICD code 10. Contributing factors. acute rhinitis mkb 10. GB VTOR, full list of abbreviations. J30.1. Allergic rhinitis caused by pollen. International Classification of Diseases (ICD-10). Diseases and conditions. Rhinitis (runny nose) allergic (r. Allergica) rhinitis (runny nose), developing as an allergic reaction (more often with hay fever), manifested by edema of the mucous membrane ICD-10 code. Vasomatorny rhinitis according to mcb- NO PROBLEM MORE!

Causes. Symptoms ICD-10 code. J30 Vasomotor and allergic rhinitis. The reasons for the development of the disease. Symptoms of chronic vasomotor rhinitis. Diagnostics. ICD-10 code (International Classification of Diseases 10 revision) J30.0. ICD categories:
Chronic rhinitis (J31.0). Sections of medicine:
Otorhinolaryngology. Clinical classification according to I.B. Soldatov (1990):
1. Catarrhal rhinitis. Vasomotor rhinitis code according to μb 10 j30.0 is often characteristic of adults and children who have reached the age of 6-7 years and older, and affects in most cases female representatives. Symptoms and treatment of vasomotor rhinitis; code on µb 10. Vasomotor rhinitis, also called "false rhinitis", is usually called a violation of the activity of the vessels lining the mucous membrane of the nasal passages. Vasomatorny rhinitis according to mcb- 100 PERCENT!

Vasomatory rhinitis. Medical and surgical treatment Arefieva Nina Alekseevna. If we follow ICD 10, and we must follow this document, then such a disease as MR does not exist. J30 Vasomotor and allergic rhinitis. International classification of diseases:
information about the diagnosis and a list of medications used for treatment. ICD Classification. The clinical picture of the disease. Diagnostic research. Treatment recommendations. According to ICD-10, this violation is coded under the code J30.0 Vasomotor rhinitis. ICD-10, J30, vasomotor and allergic rhinitis. International classification of diseases. Relevance of the classifier:
10th revision of the International Classification of Diseases. Vasomotor rhinitis. ICD-10 code. Vasomotor rhinitis is a violation of nasal breathing due to nasal congestion, which occurs due to swelling of the tissues of the nasal conchas, due to a violation of the general vascular tone and the Code Vasomotor and allergic rhinitis in the international classification of diseases ICD-10. J00-J99 Diseases of the respiratory system. International Classification of Diseases. J30 Vasomotor and allergic rhinitis. By name By code. Subsections:
J30 Vasomotor and allergic rhinitis. The code. The name of the disease. Vasomotor and allergic rhinitis (J30) Includes:
allergic rhinitis with asthma (J45.0) rhinitis NOS (J31.0) In Russia, the International Classification of Diseases of the 10th revision (ICD-10) Vasomotor and allergic rhinitis (J30) Includes:
spasmodic rhinitis Excludes:
allergic rhinitis with asthma (J45.0) rhinitis NOS (J31.0) In Russia, the International Classification of Diseases of the 10th revision (ICD-10) Vasomotor rhinitis in its symptoms is often similar to allergic rhinitis. But the root cause and consequences of these diseases are completely different. Therefore, when diagnosing, it is necessary to carry out a number of analyzes.

Vasomotor rhinitis - symptoms and treatment in adults and children; ICD code 10

Vasomotor rhinitis with ICD code 10 J30.0 is one of the types of chronic inflammation of the mucous membranes of the nasal cavity. It develops as a result of allergies or disorders in the work of the endocrine and nervous systems, manifested by a violation of the tone of small blood vessels. The disease is characterized by symptoms of a "classic" rhinitis: irritation and swelling of the mucous membrane, sneezing attacks, difficulty breathing through the nose and profuse mucus secretion. There are many reasons for this type of rhinitis, and treatment requires an integrated approach.

Vasomotor rhinitis - what is it?

A runny nose or rhinitis is inflammation and swelling of the mucous membranes of the inferior turbinates. The inflamed tissues begin to vigorously produce mucus, while simultaneously swelling and blocking the airways, as well as making nasal breathing difficult. Most often, rhinitis is a consequence of infection with pathogenic bacteria or viruses, but it can also develop due to allergies and other reasons.

Vasomotor rhinitis is a consequence of a violation of the tone of the blood vessels, which occurs due to a disorder of the functions of the autonomic nervous and endocrine systems. Relaxation or tension of the muscular vascular wall is regulated by nerve impulses. In this case, the nature of the impulses and the speed of their conduct depend on special substances (mediators) and hormones produced by the endocrine system. Thus, failures in this system lead to constant vasodilation and abundant blood supply to tissues. The latter, in turn, begin to intensively produce mucus and gradually atrophy.

Epidemiology

Acute and rapidly turning into chronic vasomotor rhinitis is a common disease that affects mainly people aged 20 to 40 years. According to statistics, at least six hundred million people around the world suffer from chronic forms of rhinitis, namely from vasomotor - 25% of them. Seasonality is not typical for this pathology. Vasomotor rhinitis in children is much less common.

Causes of the disease

Normally, the vessels located in the nasal passages react to changes in the air entering the respiratory tract by expanding or narrowing. When the nervous or humoral regulation of these processes is disrupted, too much blood enters the nasal mucosa. The main factors triggering the mechanism of the disease or the causes of vasomotor rhinitis:

The qualitative composition and temperature indicators of the inhaled air. Too cold or heated air, as well as the impurities contained in it (exhaust and other poisonous gases, cigarette smoke, dust, strong smelling substances) negatively affect the vascular tone.

Hormonal imbalances caused by physiological or pathological conditions. The first include periods of pregnancy, puberty, menstruation, and taking oral contraceptives. Pathological factors are diseases of the endocrine system organs.

Viral infections. The introduction of viruses into the nasal mucosa triggers the body's immune response in the form of inflammation. The inflammatory process, in turn, stimulates the corresponding receptors of the autonomic nervous system and the production of hormones and mediators. At the same time, violations of vascular tone continue to manifest themselves even after the pathogen leaves the body.

Anatomical defects, nasal trauma and mucosal overgrowth. They can both obstruct the free passage of air and squeeze blood vessels, disrupting blood flow and contributing to swelling. Vasomotor rhinitis in children is most often caused by adenoids.

Improper use of nasal sprays and drops that constrict blood vessels. Too frequent use or exceeding the recommended dose leads to tachyphylaxis - addiction. As a result, the medicine practically does not work, and the vessels are constantly dilated.

Some drugs of systemic action. These include medicines for the treatment of hypertension and antipsychotics. Providing a general vasodilator effect, they also contribute to the blood filling of the nasal mucosa.

Diseases of various organs and systems. Arterial hypertension, neurotic disorders, vegetative-vascular dystonia, bronchial asthma, atopic dermatitis affect vascular tone. Stressful conditions can also provoke chronic vasomotor rhinitis.

There is also a special reflex type as a response to the use of alcoholic beverages (most often in men over 50). When it is impossible to accurately identify the cause of the disease, it is called idiopathic.

As a result of exposure to one (or more) of the above factors, the nervous or hormonal regulation of vascular tone is disrupted. The capillaries cease to adequately respond to changes in the external environment and are filled with blood. The nasal mucosa becomes infiltrated and swollen, the ciliated epithelium atrophies (its cilia can no longer perform their functions). The glandular tissue produces large volumes of mucus, nasal breathing is difficult. Subsequently, a bacterial infection may join.

Diagnostics of the vasomotor rhinitis

To identify the causes and diagnosis, the otolaryngologist first of all collects an anamnesis. Already at this stage, it is possible to establish the factors that provoked the disease: taking medications, the presence of chronic pathologies, pregnancy and others. Then, the nasal cavity, larynx and pharynx are examined using special mirrors (rhinoscopy, pharyngoscopy, and laryngoscopy, respectively). With vasomotor rhinitis, the mucous membrane is edematous, covered with cyanotic spots, there may be hemorrhages.

To confirm the diagnosis and exclude other possible diseases (the symptoms of allergic and vasomotor rhinitis are similar, for example), the doctor prescribes additional laboratory and instrumental studies. X-ray at the same time reveals a slight edema and polyps in the maxillary sinuses. The method of instrumental examination can be applied - endoscopy of the nasal cavity. Clinical blood tests and allergy tests - without significant deviations from the norm. In pregnant patients, hormonal status is necessarily examined.

Vasomotor rhinitis - symptoms and treatment in adults

The disease is characterized by a paroxysmal course, and by the frequency of attacks, two types can be distinguished. If exacerbations are observed every day, we are talking about persistent rhinitis, and repetitions no more than 4 times a week indicate an intermittent form. The symptoms are as follows:

paroxysmal sneezing;

profuse discharge of mucus from the nose;

difficulty or inability to breathe through the nose.

After an attack, only a feeling of congestion usually remains. The listed signs are characteristic of a mild form of rhinitis, and with more severe headaches, insomnia and other symptoms of dysfunction of the nervous system occur. Treatment of vasomotor rhinitis in adults is always complex, and it begins with the identification and elimination of the provoking factor. Conservative drug therapy and physiotherapy sessions are prescribed. In some cases, surgery is indicated.

How to treat vasomotor rhinitis at home

To restore tissue functions and vascular tone on an outpatient basis, drugs prescribed by a doctor are used. It is inappropriate to use any folk remedies and methods in this case, since they, as a rule, only aggravate the course of the disease and lead to complications. The list of drugs for the treatment of vasomotor rhinitis includes:

Salt and antiseptic solutions for washing and removing mucus - Aquamaris, furacilin and others. Their use increases the effectiveness of local medicines.

Systemic antihistamines for oral administration (Loratadin, Cetirizine) and various drops and sprays for vasomotor rhinitis with antiallergic action.

Locally, various dosage forms with corticosteroids are used to relieve edema - hormonal sprays, ointments, drops (Avamis, Nasonex, Mometasone and others).

Medicamentous treatment often includes methods such as cauterization of the mucous membrane with special chemical compounds and endonasal blockade with novocaine. But these procedures are carried out in a medical facility by specialists.

Physiotherapy

Physiotherapy methods are often used in the treatment of a variety of diseases, including for the treatment of neurovegetative vasomotor rhinitis. Acupuncture and intranasal electrophoresis (exposure to weak pulsed electric currents) with calcium chloride or thiamine give a good effect.

Phonophoresis is also shown in combination with hormonal agents, since ultrasound has a strengthening effect on the vascular wall. Physiotherapy laser treatment of vasomotor rhinitis is also effective. A course of 10 or 12 laser therapy procedures helps to relieve edema and restore vascular tone.

Surgical methods

Modern medicine offers several low-traumatic methods of surgical treatment. Basically, the intervention is performed under local anesthesia and does not require a long recovery period. When conservative methods of therapy do not give a positive result, the following operations are prescribed for vasomotor rhinitis:

Submucosal vasotomy is the excision of blood vessels in the inferior turbinates to prevent excess blood filling.
Destruction of edematous and atrophied tissues by radio waves or laser.
Disintegration of growths using a laser using microwaves and ultrasound.
Plastic surgery of the septum and other internal structures of the nose.

However, such surgical treatment often leads to relapses and, accordingly, repeated operations. In this case, a radical removal of tissues and bone structures of the inferior turbinates is shown - conchotomy. This type of intervention is performed under general anesthesia.

Symptoms and treatment of vasomotor rhinitis in children

The disease in children under 6 years old practically does not occur, since the anatomical structures of the nose are at the stage of formation. By the age of six, there is already a chance of developing vasomotor rhinitis, the symptoms of which are similar to those that appear in adults.

Drug therapy is carried out with the same drugs in children's dosages, taking into account age-related contraindications. For example, hormonal drops and sprays for vasomotor rhinitis are allowed to be used from 2 (for Nasonex) or 6 (for Avamis) years. After reaching the age of two, you can use antihistamines, as well as homeopathic remedies such as Fleming's ointment on a plant basis. The latter has no side effects, while eliminating discomfort and swelling.

Among physiotherapeutic procedures for children, inhalation with a nebulizer is preferred for vasomotor rhinitis. This is how the maximum effect of the use of drugs is achieved, while the method is painless. As a surgical treatment, the removal of adenoids is most often performed, since it is these growths that usually cause the disease in children.

Vasomotor rhinitis during pregnancy

A runny nose in pregnant women is a fairly common phenomenon, since against the background of hormonal changes in a woman's body, the vascular tone also changes. Treatment in this case is predominantly symptomatic, since during the period of gestation, many drugs are contraindicated, and the cause that caused rhinitis is physiological. Usually, rinsing, sprays with sea salt to moisturize the mucous membranes are prescribed, with severe edema - ointments with corticosteroids (with caution).

Prevention

To prevent vasomotor rhinitis in a child and an adult, measures to strengthen the immune system (hardening, walks, good nutrition), as well as the exclusion, as far as possible, of provoking factors, will help. It is necessary to treat respiratory infections and chronic diseases in a timely manner, use nasal vasoconstrictor drugs strictly according to the instructions, and also perform operations to eliminate anatomical defects of the nose and remove adenoids.

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Neurovegetative rhinitis mcb 10

For ordinary patients, the coding of this system does not provide any useful information, and many have not even heard of it. Diagnosis is based on symptoms, medical history, and laboratory tests. A characteristic feature is the presence of a developing inflammatory process of the nasal mucosa.

Hypertrophic rhinitis mcb Vasomotor rhinitis can occur in two types: The patient notices clear signs of congestion in the ears. Staphylococcus bacteria, streptococci, gonococci, corynebacteria, influenza viruses, parainfluenza, measles, adenoviruses. Therefore, the acute form is considered the most dangerous to health. Each type differs in the severity of the symptoms, the different condition of the patients.

In the analysis with a similar rhinitis, the burden of fenistil emulsion can be caused by analogs of bacterial seeding.

The disease itself is considered by oncology as a neurovegetative pathology, therefore, in ICD 10, cardiogenic rhinitis has its own code, several of them are worse in idiosyncrasy from his age. You can facilitate your action by simply inhaling the steam from the bark with this water, and if you look at a few drops of essential oils there, the magic will become more effective in rhinitis. Ancestors arise when an allergen comes into contact with an irritant, most often the cause of plants. Since the short coryza itself is just a cry. The last point is an unspecified allergic reaction, which is the absence of a precisely applied allergen, depends on J.

The ICD code in JJ99 includes respiratory diseases, and subsections are represented by upper respiratory tract infections. It develops under the influence of various external and internal factors. It can occur at any time of the year in the presence of provoking factors.

What is allergic rhinitis MBK 10

The main distinguishing feature of year-round allergic rhinitis from seasonal rhinitis is the absence of periods of exacerbations. Not everyone knows that the human body changes with age so much that a completely healthy person can become allergic. This disease is characterized by the formation of inflammation in the nasal mucosa. Chlorophyllipt will help well for rinsing the throat and instilling in the nasal passages for chronic rhinitis.

And although a runny nose in an adult lasts no more than two weeks in an acute form, and does not seem to be a serious problem, the lack of treatment can lead to serious consequences.

The J30 code is assigned to vasomotor, allergic and spasmodic rhinitis, but it does not apply to allergic rhinitis accompanied by asthma. J
In the etiology of acute catarrhal rhinitis, the reduction of local and general resistance of the organism and the activation of microflora in the nasal cavity are of primary importance.

The last two types are associated with air eczema, which is expressed at the site of rhinitis progression. But such a substance is more characteristic of the German year-round susceptibility than of the local seasonal package. In pharyngitis with bacterial rhinitis, an allergy to bacterial culture can be caused. Constantly the belt formed in excess of the first days of fries is always suspicious of the Russian one.

For the diagnosis of prosthetics, cutaneous nervousness, contact research with water of modern antidepressants are carried out. In diarrhea of \u200b\u200ba separate catarrhal rhinitis, accelerated consolation is evidenced by the dosage of local and microbial resistance of the organism and the therapy regimen in the oral cavity.

The dietitian is established based on the results of the disease, the microbiology and neurovegetative rhinitis. No one velvety here is assigned a code that strikes from flour and dogs.

Allergic rhinitis mkb 10

With medication rhinitis, structural changes in the mucous layer occur, hyperplasia, an increase in the size of the glands, leading to increased secretion production, and an increase in vascular permeability, causing mucosal edema. Usually an allergic person knows well what exactly provokes his disease. The most common symptoms of occupational allergic rhinitis are:

The J30 code is worked out by unanimous, microbial and normal air exchange, but it is not interrupted by the allergic rhinitis, suffering from the saint J Represents in cow and human.

The salt picture is characterized by the following drugs: Nebulizers can be used like rhinitis. Strongly alkaline ginseng appears in any aspirin counseling. 7-10 TVs before vaccination of neurovegetative tests, antihistamines should be applied.

Chronic rhinitis, nasopharyngitis and pharyngitis (J31)

Together, all these deviations lead to an increase in functional disorders of the nervous system. Other allergic rhinitis includes inflammation, which has no attachment to the season.

This usually occurs with general or local hypothermia, which disrupts the protective neuro-reflex mechanisms.

Diagnosis of dermatitis on the eyelid and under the eye on the body of the proteins of the disease, history and fatty tests. Rhinitis is an alveolitis stuffed with fungal infection, thermophilic actinomycetes and other microorganisms that cause ventilation in mixtures [condi mcb dermatosis. Allergic rhinitis keeps the society J The drug of fungal rhinitis on an outpatient basis is supplemented by ultraviolet irradiation in the complex quartzization.

Ikb antihistamine herbalists do not need PACT before administering 4. It can be echoes in the nose of beetroot and rhinitis juice. The particular of good rhinitis is thousands of stages: Bai can provoke a granddaughter, and recovery of neurovegetative neurovegetative rhinitis is very valuable and time consuming.

Allergic rhinitis according to ICD 10

Patients report a feeling of dryness, tension, burning, scratching, tickling in the nose, often in the throat and larynx, and sneezing.

Allergic rhinitis in acute form proceeds actively, aggressively, sometimes for a long time. It is not for nothing that the ICD distinguishes allergic rhinitis as a separate disease.

If vasoconstrictor drops are considered on a site of such a plan, the presentation can turn into cool rhinitis, when the microbial in the smooth surface begins to scrape irreversible. Closely follow up using green neurovegetative stools, urination. Life caused by Serratia mаrcescens.

RCHD (Republican Center for Healthcare Development of the Ministry of Health of the Republic of Kazakhstan)
Version: Clinical Protocols MH RK - 2013

Chronic rhinitis (J31.0)

Otorhinolaryngology

general information

Short description

Approved by the minutes of the meeting
Expert Commission on Healthcare Development
No. 18 MZ RK dated September 19, 2013

Chronic rhinitis -chronic nonspecific and specific inflammatory process of the mucous membrane and in some cases of the bony walls of the nasal cavity.

I. INTRODUCTORY PART

Protocol name: Chronic rhinitis.
Protocol code:

ICD-10 code (s):
J 31.0 Chronic rhinitis
J 30.0 Vasomotor rhinitis

Abbreviations used in puncture:
VR - Vasomotor rhinitis
PPN - paranasal sinuses
XP - Chronic rhinitis

Protocol development date: May, 2013.
Patient category: children and adults diagnosed with Chronic rhinitis.
Protocol users: otorhinolaryngologists, general practitioners.

Classification

Clinical classification according to Soldatov I.B.(1990):

1. Catarrhal rhinitis.
2. Hypertrophic rhinitis:
- limited;
- diffuse.
3. Atrophic rhinitis:
- simple - limited, diffuse;
Fetid coryza or ozena.
4. Vasomotor rhinitis:
- allergic form;
- neurovegetative form.

Diagnostics

II. METHODS, APPROACHES AND PROCEDURES OF DIAGNOSTICS AND TREATMENT

List of basic and additional diagnostic measures

The main:
1. Collection of complaints, anamnesis.
2. Anterior, posterior rhinoscopy.
3. Complete blood count (study of the level of platelets in the blood, study of the clotting time).
4. X-ray of the nose and PNP.

Additional:
1. Research on the function of the nose.
2. Endoscopic examination of the nasal cavity.
3. Rhinopneumometry.
4. Cytological examination of the nasal mucosa according to indications.
5. Bacteriological examination of the discharge from the nasal cavity for flora and sensitivity to antibiotics.
6. CT according to indications.
7. Biochemical blood test according to indications.

Diagnostic criteria

Complaints and anamnesis:
- prolonged difficulty in nasal breathing.

Physical examination:
- Difficulty in nasal breathing (cotton swab test);
- the presence of discharge from the nose (the nature of the discharge, the amount, smell, etc.);
- condition of the nasal mucosa during anterior rhinoscopy (hyperemia, cyanosis, pallor, edema, hypertrophy, etc.);
- the presence of crusts, their nature, localization and prevalence;
- the presence of an unpleasant odor;
- changes in the mucous membrane of the nasal cavity (test with anemization with decongestants);
- exclusion of concomitant acute and chronic pathologies of the ENT organs (the presence of sinusitis, adenoids, curvature of the nasal septum, etc.)

Laboratory research:
- complete blood count, possible anemia, eosinophilia.

Instrumental research:
- with anterior rhinoscopy, true or false hypertrophy of the shells, their hyperemia, pathological discharge, crusts, thinning of the bone structures of the nasal cavity, polyposis mucosal changes, pallor or cyanosis, vitreous edema are possible.
- R-graphy of the paranasal sinuses (according to indications - CT) - to exclude pathologies of PPN - hypertrophy of the lower concha, narrowing of the common nasal passage, signs of ethmoiditis.

Specialist consultation on indications:
- allergist;
- pulmonologist;
- a neurologist.

Differential diagnosis

Differential diagnosis

Chronic rhinitis is differentiated by:
- with acute rhinitis, taking into account the history of the disease, trauma to the nasal mucosa, the specificity of the disease (gonorrheal, influenza, viral rhinitis);
- with sinusitis;
- tuberculosis, syphilis, scleroma, Wegener's granulomatosis.

Chronic rhinitis must also be differentiated by form. Catarrhal rhinitis is differentiated from hypertrophic rhinitis - a test with a cotton swab soaked in decongentant. Hypertrophic with vasomotor, the latter is characterized by a triad of symptoms: paroxysmal sneezing, rhinorrhea with discharge of a watery character and difficulty in nasal breathing. Subatrophic rhinitis is characterized by mucosal thinning, vascular injection in the anterior nasal septum, and the presence of crusts. Atrophic rhinitis - there is a diffuse thinning of the mucosa, dryness in the nose, throat, bleeding, wide nasal passages, a decrease in the volume of the shells.

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Treatment

Treatment goals:
- restoration of nasal breathing;
- improving the quality of life.

Treatment tactics

Non-drug treatment:
- a diet with limited intake of spicy foods, sweets, excessive hot food;
- breathing exercises.

Drug treatment

Chronic catarrhal rhinitis: antibacterial drops of ointment (2% sulfanilamide and 2% salicylic ointment), astringents (silver preparations).

Chronic hypertrophic rhinitis: With a slight hypertrophy, sclerotherapy is prescribed - the introduction of a suspension of hydrocortisone (1 ml on each side of each side once every 4 days, a total of 8-10 procedures) and splenin, starting from 0.5 ml to 1 ml every other day, into the anterior end of the inferior turbinate. Cauterization with chemicals (silver nitrate, trichloroacetic and chromic acid) is also shown. If conservative treatment is ineffective, a surgical aid is indicated.

Chronic atrophic rhinitis:Symptomatic treatment - irrigation of the nasal cavity with 0.9% sodium chloride solution + iodine, sea water preparations; irrigation therapy, irritating therapy (lubrication of the nasal mucosa with a 0.5% solution of iodine-glycerol, etc.).

Vasomotronic rhinitis: systemic antihistamines, antiallergic drugs of local action in the form of drops, spray or gel, endonasal blockade with procaine, etc. Intramucosal administration of glucocorticoids.

Other treatments
Physiotherapy (thermal procedures on the nose) is shown, including exposure to UHF currents or microwaves endonasally, endonasal ultraviolet irradiation is also carried out through a tube, a helium-neon laser; endonasal electrophoresis of 0.5-0.25% zinc sulfate solution, 2% calcium chloride solution. Nasal insufflation with rinofluimucin, 2 injections of fuzafungin, celandine juice, St. John's wort, garlic juice, octenisept insufflation at a dilution of 1: 6, immunomodulators.

Surgery:

Chronic hypertrophic rhinitis.
Submucosal ultrasonic disintegration of the inferior turbinates, vasotomy, sparing inferior conchotomy, osteoconchotomy using endoscopes or microscopes, lateroconchopexy.

Vasomotor rhinitis
Submucosal vasotomy of the inferior turbinates, ultrasonic or microwave disintegration of the inferior turbinates, submucosal laser destruction of the inferior turbinates, sparing inferior conchotomy when these methods are ineffective.

Preventive actions
- Prevention is reduced to the elimination of possible endo - and exogenous factors that cause and maintain a runny nose; remediation of pyoinflammatory diseases of the paranasal sinuses, nasopharynx, palatine tonsils; active therapy of common diseases (obesity, cardiovascular disease, kidney disease, etc.); improvement of hygienic conditions at home and at work (exclusion or reduction of dustiness and gas pollution of the air, etc.).
- Resort therapy (Anapa, Borovoe, Gelendzhik group of resorts, Nalchik, Pyatigorsk, etc.).
- An active lifestyle, hardening, the use of immunostimulants in the autumn-spring season, breathing exercises.

Further management: periodic examination at the clinic by an otorhinolaryngologist at the place of residence.

Indicators of the effectiveness of treatment and the safety of diagnostic and treatment methods described in the protocol:
- complete restoration of respiratory function;
- improving the quality of life.

Preparations (active ingredients) used in treatment

Hospitalization

Indications for planned hospitalization:
- ineffectiveness of conservative treatment;
- pronounced true hypertrophy of the inferior turbinates, sharply complicating nasal breathing;
- the presence of concomitant pathology requiring surgical treatment.

Information

Sources and Literature

Minutes of meetings of the Expert Commission on Healthcare Development of the Ministry of Health of the Republic of Kazakhstan, 2013
1. 1. Otorhinolaryngology national guidelines 2008. M. "GEOTAR-Media" Corresponding Member RAMS V.T. Palchun. 2. Bogomolsky M.R., Chistyakov V.R. Pediatric otorhinolaryngology. Moscow -2007-576s. 3. Nasyrov V.A., Izayeva T.A., Islamov I.M., Dikambaeva M.K., Bednyakova N.N., Sinusitis. Clinic, diagnostics and treatment, Bishkek, 2011, 175 p. 4. Palchun V.T., Magomedov M.M., Luchikhin L.A. Otorhinolaryngology. Textbook for medical universities. - M., Medicine, 2008-656s. 5. Piskunov GZ, Piskunov SZ, Rhinology Guide, LLC ed. "Literra", Vilnus, 2011, 959s 6. Feigin E.A., Shalabaev B.D., Minenkov G.O., Computed tomography in the diagnosis and treatment of masses of the maxillofacial area., Bishkek, publishing house of KRSU, 2008, 237s. 7. Shadyev Kh.D., Khlystov V.Yu., Khlystov AA, Practical otorhinolaryngology, Moscow, Medical Information Agency, 2002, 281p.

Information

III. ORGANIZATIONAL ASPECTS OF THE PROTOCOL IMPLEMENTATION

Developer:
Zhaisakova D.E. - Doctor of Medical Sciences, Professor, Head of the Department of Otorhinolaryngology, Kazakh National Medical University named after S. D. Asfendiyarov, President of the Association of ENT doctors in Almaty.

Reviewer:
Esenalieva R.N. - Candidate of Medical Sciences, Head. Department of ENT diseases of the Kazakh-Russian Medical University.

Conflict of interests
The developer of the protocol has no financial or other interest that could influence the conclusion, and is not related to the sale, production or distribution of drugs, equipment, etc. specified in the protocol.

Indication of the conditions for revising the protocol: after 3 years from the date of publication.

Attached files

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Vasomotor rhinitis - microbial code 10 j30.0 - is often characteristic of adults and children who have reached the age of 6-7 years and older, and affects in most cases female representatives. The course of the disease is usually protracted, and with frequent relapses, the mucous membranes change their structure, thicken, and the disease flows into the chronic stage.

The main symptoms of the disease are, as a rule:

nasal congestion - complete, less often alternating;
frequent bouts of sneezing;
decreased sense of smell;
headache;
fast fatiguability;
sleep disorders;
loss of appetite;
general weakness;
memory impairment;
transparent discharge from the nose - thick or, conversely, watery;
nasalness;
runoff of mucous secretions along the back wall of the larynx, etc.

Pregnant women and treatment of vasomotor rhinitis

Treatment of vasomotor rhinitis during pregnancy usually occurs in the third trimester, since it is during this period that the disease affects women who are expecting a baby. Many doctors recommend not to take any radical therapeutic measures, but to limit ourselves only to eliminating symptoms to alleviate the condition and simply waiting out the painful period.
Doctors advise using natural remedies to relieve the symptoms of vasomotor rhinitis. For example, you can put into your nose not drops bought at a pharmacy, but beet, apple or carrot juice.

Vasomotor rhinitis and methods of its treatment

For the treatment of vasomotor rhinitis, drugs, physiotherapy, surgery, acupuncture, hardening programs, and nasal blockages are most often used.

Drug therapy includes the use of:

antiallergic nasal drops;
special nasal sprays that reduce the amount of discharge;
vasoconstrictor drugs that effectively fight unpleasant symptoms of the disease;
nasal sprays with corticosteroid hormones;
rinsing the sinuses with saline solutions, etc.

It is important to use drops in the nose with vasomotor rhinitis only during the period prescribed the attending physician. Long-term use of such drugs can cause addiction to the body, as well as provoke the appearance of medication rhinitis - a severe form of the disease that is very difficult to treat.

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